MOBILECARE DENTAL PLLC NPI 1104369370

NPI Information

NPI: 1104369370
Provider Name: MOBILECARE DENTAL, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 04D2192879

Address:
2729 RUDY RD
VAN BUREN, AR
ZIP 72956
Phone: (479) 471-1677
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MOBILECARE DENTAL, PLLC is a dental clinic center in Van Buren, AR. MOBILECARE DENTAL, PLLC NPI is 1104369370. The provider is registered as an organization entity type.

The provider's business location address is:

2729 RUDY RD
VAN BUREN, AR
ZIP 72956-936
Phone: (479) 471-1677

The provider's authorized official is Philip Scott Morton .
The authorized official title is Owner and has the following contact phone number (479) 806-1852.

The CLIA number assigned to this NPI record is 04D2192879 - other - ancillary for ltc/al dent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.

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	1190	ARKANSAS	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: 4/28/2024

NPI Synchronization or Removal

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