DR. CLINT DAWSON KOEN DDS NPI 1629143789

NPI Information

NPI: 1629143789
Provider Name: DR. CLINT DAWSON KOEN, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2700 ALLYSON LN
CONWAY, AR
ZIP 72034
Phone: (501) 730-0375
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DR. Clint Dawson Koen, DDS is a pediatric dentistry dentist in Conway, AR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Clint Dawson Koen, DDS NPI is 1629143789. 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:

2700 ALLYSON LN
CONWAY, AR
ZIP 72034-281
Phone: (501) 730-0375
Fax: (501) 730-0335

The enumeration date for this NPI number is 11/22/2006 and was last updated on 6/26/2014.

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	3587	ARKANSAS	No
2	1223P0221X	Dentist	Pediatric Dentistry	3587	ARKANSAS	Yes

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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