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SMILES OF ARKANSAS DENTAL CENTER PLLC NPI 1316234636


NPI Information

NPI: 1316234636
Provider Name: SMILES OF ARKANSAS DENTAL CENTER, PLLC

Doing Business As: TEXARKANA DIVISION

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1621 ARKANSAS BLVD
TEXARKANA, AR
ZIP 71854
Phone: (870) 774-7645
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SMILES OF ARKANSAS DENTAL CENTER, PLLC is a general practice dentist in Texarkana, 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. SMILES OF ARKANSAS DENTAL CENTER, PLLC NPI is 1316234636. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Texarkana Division.

The provider's business location address is:

1621 ARKANSAS BLVD
TEXARKANA, AR
ZIP 71854-607
Phone: (870) 774-7645
Fax: (870) 773-7647

The provider's authorized official is Jodie Koger .
The authorized official title is Director Of Operations and has the following contact phone number (870) 777-6453.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 7/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3177ARKANSASYes

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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