MAUMELLE FAMILY DENTAL CARE NPI 1619133279

NPI Information

MAUMELLE FAMILY DENTAL CARE is a general practice dentist in Maumelle, 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. MAUMELLE FAMILY DENTAL CARE NPI is 1619133279. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Keith W. Smith, D.d.s..

The provider's business location address is:

301 MILLWOOD CIR
SUITE 107
MAUMELLE, AR
ZIP 72113-319
Phone: (501) 851-7645
Fax: (501) 851-4281

The provider's authorized official is Keith Wayne Smith .
The authorized official title is General Dentist and has the following contact phone number (501) 851-7645.

The CLIA number assigned to this NPI record is 04D2174110 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.

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:

Other Identifiers

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