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ARKANSAS PEDIATRIC DENTISTRY NPI 1174949622


NPI Information

NPI: 1174949622
Provider Name: ARKANSAS PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
5905 W 12TH ST
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 812-3109
Get Directions

ARKANSAS PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Little Rock, AR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ARKANSAS PEDIATRIC DENTISTRY NPI is 1174949622. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5905 W 12TH ST
LITTLE ROCK, AR
ZIP 72204-608
Phone: (501) 812-3109

The provider's authorized official is Cara Jones .
The authorized official title is President/dentist and has the following contact phone number (501) 812-3109.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200887631MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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