Provider Demographics
NPI:1154580066
Name:GOLDEN, KRISTI GIPE (DDS)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:GIPE
Last Name:GOLDEN
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 1:103 PLAZA CARMONA PL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-3000
Mailing Address - Country:US
Mailing Address - Phone:501-922-2600
Mailing Address - Fax:501-922-2985
Practice Address - Street 1:103 PLAZA CARMONA PL
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-3000
Practice Address - Country:US
Practice Address - Phone:501-922-2600
Practice Address - Fax:501-922-2985
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR34341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice