Provider Demographics
NPI:1033472535
Name:RINEHART, DOUGLAS D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:D
Last Name:RINEHART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 N WALTON BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4551
Mailing Address - Country:US
Mailing Address - Phone:479-464-7500
Mailing Address - Fax:
Practice Address - Street 1:911 N WALTON BLVD
Practice Address - Street 2:STE. B
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4551
Practice Address - Country:US
Practice Address - Phone:479-464-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3879122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist