NPI: 1710188388
Provider Name: MILLENNIUM DENTAL, PLLC
Former Legal Business Name: C. CHAD JOHNSON, D.D.S., P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
2827 E MILLENNIUM PL STE 1
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-4440
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MILLENNIUM DENTAL, PLLC is a general practice dentist in Fayetteville, 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. MILLENNIUM DENTAL, PLLC NPI is 1710188388. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is C. Chad Johnson, D.d.s., P.a..
The provider's business location address is:
2827 E MILLENNIUM PL STE 1
FAYETTEVILLE, AR
ZIP 72703-528
Phone: (479) 521-4440
Fax: (479) 521-4443
The provider's authorized official is Patricia L Webb .
The authorized official title is Business Manager and has the following contact phone number (479) 521-4440.
The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.