WEST MEMPHIS PEDIATRIC DENTISTRY NPI 1154863637

NPI Information

NPI: 1154863637
Provider Name: WEST MEMPHIS PEDIATRIC DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
303 BANCARIO STE 11-12
MARION, AR
ZIP 72364
Phone: (870) 739-2992
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WEST MEMPHIS PEDIATRIC DENTISTRY is a dental clinic center in Marion, AR. WEST MEMPHIS PEDIATRIC DENTISTRY NPI is 1154863637. The provider is registered as an organization entity type.

The provider's business location address is:

303 BANCARIO STE 11-12
MARION, AR
ZIP 72364-825
Phone: (870) 739-2992
Fax: (870) 739-8597

The provider's authorized official is John Michael Burrows .
The authorized official title is Owner and has the following contact phone number (870) 739-2992.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.

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	3647	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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