EMMALEE BEENE-GREGORY DDS NPI 1528663879

NPI Information

NPI: 1528663879
Provider Name: EMMALEE BEENE-GREGORY DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1018 N WASHINGTON
MAGNOLIA, AR
ZIP 71753
Phone: (870) 234-5244
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EMMALEE BEENE-GREGORY DDS is a dental clinic center in Magnolia, AR. EMMALEE BEENE-GREGORY DDS NPI is 1528663879. The provider is registered as an organization entity type.

The provider's business location address is:

1018 N WASHINGTON
MAGNOLIA, AR
ZIP 71753-456
Phone: (870) 234-5244
Fax: (870) 234-7504

The provider's authorized official is Emmalee Beene-gregory .
The authorized official title is Dentist and has the following contact phone number (870) 234-5244.

The enumeration date for this NPI number is 12/3/2020 and was last updated on 12/3/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			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	120909608	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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