G FRIEND DDS MS & M WILSON DDS MS PA NPI 1508889478

NPI Information

G FRIEND DDS MS & M WILSON DDS MS PA is a pediatric dentistry dentist in North Little Rock, AR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. G FRIEND DDS MS & M WILSON DDS MS PA NPI is 1508889478. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Little Rock Pediatric Dental Group.

The provider's business location address is:

4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 771-2990
Fax: (501) 758-0408

The provider's authorized official is Mark E Wilson .
The authorized official title is Co Owner and has the following contact phone number (501) 771-2990.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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