# FAMILY DENTISTRY OF THE OZARKS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447060496
- **Authorized official:** DR. SYDNEY BROOKE HENDERSON DDS (DENTIST/ OWNER)
- **Authorized official phone:** (870) 404-9831

## Contact information

- **Practice address:** 891 N MAIN AVE, FAYETTEVILLE, AR 72701-8850
- **Practice address phone:** (479) 444-0202
- **Mailing address:** 891 N MAIN AVE, FAYETTEVILLE, AR 72701-8850
- **Mailing address phone:** (479) 444-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2025
- **Last updated:** 01/11/2025