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RANDALL S HESTIR DDS INC NPI 1770796401


NPI Information

NPI: 1770796401
Provider Name: RANDALL S HESTIR DDS INC

Other Name: FAMILY DENTAL ASSOCIATES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1703 S WHITEHEAD DR
DEWITT, AR
ZIP 72042
Phone: (870) 946-2013
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RANDALL S HESTIR DDS INC is a general practice dentist in Dewitt, 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. RANDALL S HESTIR DDS INC NPI is 1770796401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Family Dental Associates.

The provider's business location address is:

1703 S WHITEHEAD DR
DEWITT, AR
ZIP 72042
Phone: (870) 946-2013
Fax: (870) 946-1281

The provider's authorized official is Randall S Hestir .
The authorized official title is Owner and has the following contact phone number (870) 946-2013.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 6/29/2009.


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 Practice2266MISSOURIYes

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
1100922608MEDICAIDARKANSAS

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

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