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P & D ENTERPRISES OF JONESBORO PLLC NPI 1821302233


NPI Information

NPI: 1821302233
Provider Name: P & D ENTERPRISES OF JONESBORO PLLC

Doing Business As: NORTHEAST ARKANSAS DENTAL CLINIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
405 HIGHWAY 463 N
TRUMANN, AR
ZIP 72472
Phone: (870) 483-0543
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P & D ENTERPRISES OF JONESBORO PLLC is a general practice dentist in Trumann, 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. P & D ENTERPRISES OF JONESBORO PLLC NPI is 1821302233. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Arkansas Dental Clinic.

The provider's business location address is:

405 HIGHWAY 463 N
TRUMANN, AR
ZIP 72472-702
Phone: (870) 483-0543
Fax: (870) 483-0544

The provider's authorized official is Diane Secrease .
The authorized official title is Ofc Manager and has the following contact phone number (870) 483-0543.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 7/28/2010.


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 Practice2621ARKANSASYes

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: 11/14/2023

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