PRAIRIE GROVE DENTAL CENTER PLLC is a general practice dentist in Prairie Grove, 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. PRAIRIE GROVE DENTAL CENTER PLLC NPI is 1508454612. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1121 E HERITAGE PKWY
PRAIRIE GROVE, AR
ZIP 72753-013
Phone: (479) 244-2052
Fax: (479) 846-1940
The provider's authorized official is Alan Douglas Clark .
The authorized official title is Dentist-owner and has the following contact phone number (479) 244-2052.
The CLIA number assigned to this NPI record is 04D2062313 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/5/2021.