DIVINE SMILES DENTAL STUDIOS INC. NPI 1871772764

NPI Information

NPI: 1871772764
Provider Name: DIVINE SMILES DENTAL STUDIOS, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
620 N 13TH ST
ROGERS, AR
ZIP 72756
Phone: (479) 986-0200
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DIVINE SMILES DENTAL STUDIOS, INC. is a dental clinic center in Rogers, AR. DIVINE SMILES DENTAL STUDIOS, INC. NPI is 1871772764. The provider is registered as an organization entity type.

The provider's business location address is:

620 N 13TH ST
ROGERS, AR
ZIP 72756-434
Phone: (479) 986-0200

The provider's authorized official is Ken Berley .
The authorized official title is President/owner and has the following contact phone number (479) 254-0200.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 10/29/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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