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04D0919709 CLIA NUMBER - BOONEVILLE HUMAN DEVELOPMENT CENTER

Laboratory Demographics

CLIA Number: 04D0919709

Facility Name: BOONEVILLE HUMAN DEVELOPMENT CENTER

Facility Address:
87 REED ROAD
BOONEVILLE, AR
ZIP 72927
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Facility Phone Number: 479 675-1443

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Microscopy
NPI Number: 1376081588

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 04D0919709
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name BOONEVILLE HUMAN DEVELOPMENT CENTER
Street 87 REED ROAD
City BOONEVILLE
State AR
ZIP 72927
Phone 479 675-1443
CertificateType 3
CertificateEffectiveDate 4/15/2024
CertificateExpirationDate 4/14/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024