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PEDIATRIC DENTISTRY OF EASTERN ARKANSAS NPI 1922292531


NPI Information

NPI: 1922292531
Provider Name: PEDIATRIC DENTISTRY OF EASTERN ARKANSAS
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4941 N WASHINGTON HWY 1
FORREST CITY, AR
ZIP 72335
Phone: (870) 630-1500
Get Directions

PEDIATRIC DENTISTRY OF EASTERN ARKANSAS is a pediatric dentistry dentist in Forrest City, AR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTISTRY OF EASTERN ARKANSAS NPI is 1922292531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4941 N WASHINGTON HWY 1
FORREST CITY, AR
ZIP 72335-022
Phone: (870) 630-1500
Fax: (870) 630-6405

The provider's authorized official is Shaorn Rae Franks .
The authorized official title is Rda/office Manager and has the following contact phone number (870) 630-1500.

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


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
11223P0221XDentistPediatric Dentistry3045ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
159632OTHERARKANSASBLUE CROSS BLUE SHIELD
2862131OTHERARKANSASUNITED CONCORDIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.