MAXILLOFACIAL DIAGNOSTICS PLLC NPI 1215229786

NPI Information

  • NPI: 1215229786
  • Provider Name: MAXILLOFACIAL DIAGNOSTICS, PLLC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Doing Business As: MAXILLOFACIAL DIAGNOSTICS, PLLC
  • Address: 2300 ANDOVER CT
    SUITE 400
    LITTLE ROCK, AR
    ZIP 72227
  • Phone: (501) 319-7520

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NPI Details

MAXILLOFACIAL DIAGNOSTICS, PLLC is a prosthodontics dentist in Little Rock, AR. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. MAXILLOFACIAL DIAGNOSTICS, PLLC NPI is 1215229786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maxillofacial Diagnostics, Pllc.

The provider's business location address is:

2300 ANDOVER CT
SUITE 400
LITTLE ROCK, AR
ZIP 72227-987
Phone: (501) 319-7520
Fax: (501) 319-7521

The provider's authorized official is Suzanne K Coco .
The authorized official title is Prosthodontists and has the following contact phone number (501) 319-7520.

The enumeration date for this NPI number is 5/3/2011 and was last updated on 5/3/2011.

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
11223P0700XDentistProsthodontics3543ARKANSASNo
21223P0700XDentistProsthodontics3533ARKANSASYes

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This page was last updated on: 11/21/2025

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