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RICHARD BERRY BROYLES DDS NPI 1861568198


NPI Information

NPI: 1861568198
Provider Name: RICHARD BERRY BROYLES, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1845 GREEN ACRES ROAD
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-2002
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Richard Berry Broyles, DDS 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. Richard Berry Broyles, DDS NPI is 1861568198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1845 GREEN ACRES ROAD
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-2002
Fax: (479) 521-2002

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/8/2007.


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 Practice1759ARKANSASYes

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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