Provider Type Icon

OZARK ORAL & MAXILLOFACIAL SURGERY PA NPI 1588775449


NPI Information

NPI: 1588775449
Provider Name: OZARK ORAL & MAXILLOFACIAL SURGERY, PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
591 HORSEBARN RD #100
ROGERS, AR
ZIP 72758
Phone: (479) 636-3979
Get Directions

OZARK ORAL & MAXILLOFACIAL SURGERY, PA is an oral and maxillofacial surgery dentist in Rogers, AR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. OZARK ORAL & MAXILLOFACIAL SURGERY, PA NPI is 1588775449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

591 HORSEBARN RD #100
ROGERS, AR
ZIP 72758-760
Phone: (479) 636-3979
Fax: (479) 636-0800

The provider's authorized official is Robert H Lewis .
The authorized official title is Owner/surgeon and has the following contact phone number (479) 636-3979.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2013.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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
15B530OTHERARKANSASBCBS
25B530MEDICARE PINARKANSAS
35B530MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.