KEVIN R. MANN DDS PA NPI 1275779258

NPI Information

NPI: 1275779258
Provider Name: KEVIN R. MANN DDS, PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1224 W COURT ST
PARAGOULD, AR
ZIP 72450
Phone: (870) 239-5518
Get Directions

KEVIN R. MANN DDS, PA is a dental clinic center in Paragould, AR. KEVIN R. MANN DDS, PA NPI is 1275779258. The provider is registered as an organization entity type.

The provider's business location address is:

1224 W COURT ST
PARAGOULD, AR
ZIP 72450-132
Phone: (870) 239-5518

The provider's authorized official is Kevin Ryan Mann .
The authorized official title is President and has the following contact phone number (870) 239-5518.

The enumeration date for this NPI number is 12/23/2008 and was last updated on 12/23/2008.

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	3666	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	168213608	MEDICAID	ARKANSAS

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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