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RIVER DENTAL ROGERS SOUTH PLLC NPI 1669035770


NPI Information

NPI: 1669035770
Provider Name: RIVER DENTAL ROGERS SOUTH, PLLC

Doing Business As: RIVER DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2603 W PLEASANT GROVE RD STE 111
ROGERS, AR
ZIP 72758
Phone: (479) 282-1023
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RIVER DENTAL ROGERS SOUTH, PLLC is a general practice dentist in Rogers, 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. RIVER DENTAL ROGERS SOUTH, PLLC NPI is 1669035770. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As River Dental.

The provider's business location address is:

2603 W PLEASANT GROVE RD STE 111
ROGERS, AR
ZIP 72758-514
Phone: (479) 282-1023

The provider's authorized official is Creed Cardon .
The authorized official title is Owner and has the following contact phone number (918) 998-0996.

The enumeration date for this NPI number is 4/16/2019 and was last updated on 2/18/2020.


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 PracticeYes

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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