Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053473546 Deactivated / Inactive NPI Male Practitioner

Dr. Bryan Childress , DDS

Dentist - General Practice • Rogers, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bryan Childress has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2006
NPI Deactivation Date May 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Childress, DDS was a registered Dentist - General Practice practicing in Rogers, AR. Throughout an active medical career spanning 16 years, Dr. Childress provided care at the practice location at 508 S 52ND ST until profile deactivation on 2022-05-06.

Practice Location & Contact Primary Location

Practice Address

508 S 52nd St

Rogers, AR 727588600

Telephone 4798451191
Fax 4798452155
Associated Practice Facility / Clinic
🏢 Metropark Dental Arts Facility NPI 1821279134

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rogers, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
59 Specialists

Practicing in Rogers, AR (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 3428

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1225057029

Doctor of Dental Surgery

Dr. Jason Thibodeaux , DMD

Dentist - General Practice

NPI 1356742498

Doctor of Dental Medicine

NPI 1720429269

Doctor of Dental Surgery

Dr. Jeff Erickson , DDS

Dentist - General Practice

NPI 1902966229

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 06, 2022

Record deactivated on May 06, 2022

NPI Profile Active December 04, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2007

Registered at 508 S 52ND ST, ROGERS, AR 727588600 (Tel: 4798451191)

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Updated Business Mailing Address December 04, 2007

Registered at 508 S 52ND ST, ROGERS, AR 727588600 (Tel: 4798451191)

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Provider Name / Credentials Updated December 04, 2007

Recorded as BRYAN CHILDRESS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

Dentist (License #3428 in AR)

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Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053473546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: December 04, 2007
Deactivation Date: May 06, 2022

Mailing Address

508 S 52nd St

Rogers, AR 727588600

Phone: 4798451191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.