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ARKANSAS FAMILY DENTAL PA NPI 1952431868


NPI Information

NPI: 1952431868
Provider Name: ARKANSAS FAMILY DENTAL, PA

Former Legal Business Name: TINA H. NICHOLS, DDS, PA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
13600 DAVID O. DODD
LITTLE ROCK, AR
ZIP 72210
Phone: (501) 312-7576
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ARKANSAS FAMILY DENTAL, PA is a general practice dentist in Little Rock, 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. ARKANSAS FAMILY DENTAL, PA NPI is 1952431868. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Tina H. Nichols, Dds, Pa.

The provider's business location address is:

13600 DAVID O. DODD
LITTLE ROCK, AR
ZIP 72210
Phone: (501) 312-7576
Fax: (501) 687-0669

The provider's authorized official is Tina Nichols .
The authorized official title is Owner/dentist and has the following contact phone number (501) 312-7576.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 4/25/2013.


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 Practice3435ARKANSASNo
21223G0001XDentistGeneral Practice3311ARKANSASYes

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
1181913631MEDICAIDARKANSAS

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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