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MAXSURGE DENTAL SPECIALIST NPI 1134526106


NPI Information

NPI: 1134526106
Provider Name: MAXSURGE DENTAL SPECIALIST
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
520 N PINE ST
HARRISON, AR
ZIP 72601
Phone: (870) 741-3877
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MAXSURGE DENTAL SPECIALIST is a general practice dentist in Harrison, 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. MAXSURGE DENTAL SPECIALIST NPI is 1134526106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 N PINE ST
HARRISON, AR
ZIP 72601-442
Phone: (870) 741-3877
Fax: (870) 741-2406

The provider's authorized official is Scott Bolding .
The authorized official title is Owner and has the following contact phone number (479) 582-3000.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 11/19/2014.


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 PracticeYes

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

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.