MAXILLOFACIAL SURGERY CENTER OF CENTRAL ARKANSAS NPI 1649446162

NPI Information

MAXILLOFACIAL SURGERY CENTER OF CENTRAL ARKANSAS is an oral and maxillofacial surgery dentist in Conway, 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. MAXILLOFACIAL SURGERY CENTER OF CENTRAL ARKANSAS NPI is 1649446162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

525 WESTERN AVE STE 204
CONWAY, AR
ZIP 72034-980
Phone: (501) 336-8888

The provider's authorized official is Mitch L Mitchell .
The authorized official title is Owner and has the following contact phone number (501) 336-8888.

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

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:

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