DR. STEPHEN TODD PHELAN D.D.S. NPI 1508924903

NPI Information

NPI: 1508924903
Provider Name: DR. STEPHEN TODD PHELAN, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
2102 W PLEASANT GROVE RD
SUITE 1
ROGERS, AR
ZIP 72758
Phone: (479) 636-3400
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DR. Stephen Todd Phelan, D.D.S. is a general practice dentist in Rogers, 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. DR. Stephen Todd Phelan, D.D.S. NPI is 1508924903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2102 W PLEASANT GROVE RD
SUITE 1
ROGERS, AR
ZIP 72758-242
Phone: (479) 636-3400

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	3489	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5Y261	OTHER	ARKANSAS	BCBS NUMBER
2	163953608	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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