STAR CITY COMMUNITY DENTAL NPI 1649679051

NPI Information

NPI: 1649679051
Provider Name: STAR CITY COMMUNITY DENTAL

Former Legal Business Name: MAINLINE HEALTH SYSTEMS INC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
557 KIRKWOOD RD
STAR CITY, AR
ZIP 71667
Phone: (870) 628-5110
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STAR CITY COMMUNITY DENTAL is a dental clinic center in Star City, AR. STAR CITY COMMUNITY DENTAL NPI is 1649679051. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mainline Health Systems Inc.

The provider's business location address is:

557 KIRKWOOD RD
STAR CITY, AR
ZIP 71667-843
Phone: (870) 628-5110
Fax: (855) 854-6281

The provider's authorized official is Tafta Mccain .
The authorized official title is Cfo and has the following contact phone number (870) 538-5414.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 3/15/2021.

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

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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