CHICOT MEMORIAL MEDICAL CENTER is a dental clinic center in Lake Village, AR. CHICOT MEMORIAL MEDICAL CENTER NPI is 1861901985. The provider is registered as an organization entity type. The provider Other Name Is Chicot Memorial Medical Center Dental Clinic.
The provider's business location address is:
2729 S. HWY 65 82 LAKE VILLAGE, AR ZIP 71653 Phone: (870) 265-5351
The provider's authorized official is Susan Vaughn . The authorized official title is Cfo and has the following contact phone number (870) 265-9229.
The enumeration date for this NPI number is 9/20/2017 and was last updated on 6/16/2018.
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:
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
NPI Synchronization or Removal
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