PATRICIA MORALES DDS PA NPI 1891909107

NPI Information

NPI: 1891909107
Provider Name: PATRICIA MORALES, DDS PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
200 N 24TH ST
ROGERS, AR
ZIP 72756
Phone: (479) 636-2100
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PATRICIA MORALES, DDS PA is a dental clinic center in Rogers, AR. PATRICIA MORALES, DDS PA NPI is 1891909107. The provider is registered as an organization entity type.

The provider's business location address is:

200 N 24TH ST
ROGERS, AR
ZIP 72756-591
Phone: (479) 636-2100
Fax: (479) 636-2110

The provider's authorized official is Thelma P Morales .
The authorized official title is President and has the following contact phone number (479) 636-2100.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 1/14/2008.

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	836	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16084631	MEDICAID	ARKANSAS

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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