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SUMMIT DENTAL CARE NPI 1194157818


NPI Information

NPI: 1194157818
Provider Name: SUMMIT DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3860 HIGHWAY 412 E STE F
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 524-9379
Get Directions

SUMMIT DENTAL CARE is a general practice dentist in Siloam Springs, 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. SUMMIT DENTAL CARE NPI is 1194157818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3860 HIGHWAY 412 E STE F
SILOAM SPRINGS, AR
ZIP 72761-499
Phone: (479) 524-9379
Fax: (479) 524-0976

The provider's authorized official is Peter Neilson Jeppsen .
The authorized official title is Owner and has the following contact phone number (479) 524-9379.

The enumeration date for this NPI number is 8/5/2013 and was last updated on 8/5/2013.


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 Practice3717ARKANSASYes

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
1200268160AMEDICAIDOKLAHOMA
2180792608MEDICAIDARKANSAS

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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