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ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC NPI 1720326945


NPI Information

NPI: 1720326945
Provider Name: ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 04D2212504

Address:
8309 PHOENIX AVE
FORT SMITH, AR
ZIP 72903
Phone: (479) 434-4430
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ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC is an oral and maxillofacial surgery dentist in Fort Smith, AR. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC NPI is 1720326945. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8309 PHOENIX AVE
FORT SMITH, AR
ZIP 72903-141
Phone: (479) 434-4430
Fax: (479) 434-4438

The provider's authorized official is Scott L Bolding .
The authorized official title is President and has the following contact phone number (479) 434-4430.

The CLIA number assigned to this NPI record is 04D2212504 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 9/10/2014.


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
11223S0112XDentistOral and Maxillofacial Surgery3025ARKANSASYes

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: 11/14/2023

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.