Provider Demographics
NPI:1134780307
Name:MONKS, ASHTON TAYLOR (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHTON
Middle Name:TAYLOR
Last Name:MONKS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 E LAKE DR N
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2678
Mailing Address - Country:US
Mailing Address - Phone:931-993-1448
Mailing Address - Fax:
Practice Address - Street 1:4850 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-7674
Practice Address - Country:US
Practice Address - Phone:870-630-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11102122300000X
MS4072-19122300000X
AR4514122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist