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SOUTHEAST FAMILY DENTISTRY PLLC NPI 1255885307


NPI Information

NPI: 1255885307
Provider Name: SOUTHEAST FAMILY DENTISTRY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
601 N 2ND ST
MC GEHEE, AR
ZIP 71654
Phone: (870) 222-3926
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SOUTHEAST FAMILY DENTISTRY PLLC is a general practice dentist in Mc Gehee, 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. SOUTHEAST FAMILY DENTISTRY PLLC NPI is 1255885307. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

601 N 2ND ST
MC GEHEE, AR
ZIP 71654-005
Phone: (870) 222-3926
Fax: (870) 222-4002

The provider's authorized official is John M Lally .
The authorized official title is Mbr and has the following contact phone number (870) 222-3926.

The enumeration date for this NPI number is 8/6/2016 and was last updated on 8/6/2016.


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
11223G0001XDentistGeneral Practice4106ARKANSASNo
21223G0001XDentistGeneral Practice2164ARKANSASYes

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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