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BETHEL BURRIS OLIVER PLLC NPI 1245644277


NPI Information

NPI: 1245644277
Provider Name: BETHEL BURRIS OLIVER PLLC

Doing Business As: ARKANSAS DENTISTRY AND BRACES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
203 S AVALON ST
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 732-2275
Get Directions

BETHEL BURRIS OLIVER PLLC is a general practice dentist in West Memphis, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BETHEL BURRIS OLIVER PLLC NPI is 1245644277. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arkansas Dentistry And Braces.

The provider's business location address is:

203 S AVALON ST
WEST MEMPHIS, AR
ZIP 72301-172
Phone: (870) 732-2275
Fax: (870) 732-1350

The provider's authorized official is Benjamin Burris .
The authorized official title is D.d.s, M.d.s., P.a. and has the following contact phone number (479) 443-1705.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 3/23/2015.


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 Dentistry3460ARKANSASNo
21223S0112XDentistOral and Maxillofacial Surgery4013ARKANSASNo
31223X0400XDentistOrthodontics and Dentofacial Orthopedics3465ARKANSASNo
41223G0001XDentistGeneral Practice3339ARKANSASYes

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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