FACE 2 FACE PLLC NPI 1730425448

NPI Information

NPI: 1730425448
Provider Name: FACE 2 FACE PLLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 1306 SYLVAN HILLS RD
VAN BUREN, AR
ZIP 72956
Phone: (479) 208-3471

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NPI Details

FACE 2 FACE PLLC is a primary care clinic center in Van Buren, AR. FACE 2 FACE PLLC NPI is 1730425448. The provider is registered as an organization entity type.

The provider's business location address is:

1306 SYLVAN HILLS RD
VAN BUREN, AR
ZIP 72956-565
Phone: (479) 208-3471
Fax: (888) 987-1841

The provider's authorized official is Jonathan Rene Broniste .
The authorized official title is Owner and has the following contact phone number (479) 208-3471.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 9/16/2019.

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	261QP2300X	Clinic/Center	Primary Care			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	198286004	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: 11/21/2025

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