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CENTRAL ARKANSAS DENTAL ASSOCIATES INC. NPI 1639225279


NPI Information

NPI: 1639225279
Provider Name: CENTRAL ARKANSAS DENTAL ASSOCIATES, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
123 N CENTER ST
LONOKE, AR
ZIP 72086
Phone: (501) 676-6770
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CENTRAL ARKANSAS DENTAL ASSOCIATES, INC. is a general practice dentist in Lonoke, 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. CENTRAL ARKANSAS DENTAL ASSOCIATES, INC. NPI is 1639225279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

123 N CENTER ST
LONOKE, AR
ZIP 72086-805
Phone: (501) 676-6770

The provider's authorized official is Melissa Meredith .
The authorized official title is Chief Operating Officer and has the following contact phone number (501) 231-9928.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 11/1/2013.


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
11223G0001XDentistGeneral Practice3565ARKANSASYes

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
1163285631MEDICAIDARKANSAS

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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