HEATHMAN FAMILY DENTAL INC NPI 1700094786

NPI Information

NPI: 1700094786
Provider Name: HEATHMAN FAMILY DENTAL INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12501 CANTRELL RD
LITTLE ROCK, AR
ZIP 72223
Phone: (501) 223-3838
Get Directions

HEATHMAN FAMILY DENTAL INC is a dental clinic center in Little Rock, AR. HEATHMAN FAMILY DENTAL INC NPI is 1700094786. The provider is registered as an organization entity type.

The provider's business location address is:

12501 CANTRELL RD
LITTLE ROCK, AR
ZIP 72223-639
Phone: (501) 223-3838
Fax: (501) 223-2554

The provider's authorized official is Tank Pam .
The authorized official title is Office Manager and has the following contact phone number (501) 223-3838.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/19/2020.

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	58928	OTHER	ARKANSAS	BLUECROSSBLUESHIELD INDIV
2	102068608	MEDICAID	ARKANSAS
3	2158	OTHER	ARKANSAS	DELTA DENTAL
4	5F438	OTHER	ARKANSAS	BCBS PRACTICE #
5	617338	OTHER	ARKANSAS	UNITED CONCORDIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »