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HIGGINBOTHAM DENTAL GROUP PLLC NPI 1710005384


NPI Information

NPI: 1710005384
Provider Name: HIGGINBOTHAM DENTAL GROUP, PLLC

Doing Business As: HIGGINBOTHAM FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3922 E MAIN ST STE D
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 762-1331
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HIGGINBOTHAM DENTAL GROUP, PLLC is a general practice dentist in Blytheville, 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. HIGGINBOTHAM DENTAL GROUP, PLLC NPI is 1710005384. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Higginbotham Family Dental.

The provider's business location address is:

3922 E MAIN ST STE D
BLYTHEVILLE, AR
ZIP 72315-813
Phone: (870) 762-1331

The provider's authorized official is Misti Ross .
The authorized official title is Ins Director and has the following contact phone number (870) 336-3732.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3393ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160743631MEDICAIDARKANSAS

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

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