GILBERTO LOPEZ DDS INC NPI 1902068018

NPI Information

NPI: 1902068018
Provider Name: GILBERTO LOPEZ DDS INC

Doing Business As: NEW SMILE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1021 S 21ST ST
FORT SMITH, AR
ZIP 72901
Phone: (479) 434-4277
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GILBERTO LOPEZ DDS INC is a dental clinic center in Fort Smith, AR. GILBERTO LOPEZ DDS INC NPI is 1902068018. The provider is registered as an organization entity type.
The provider Is Doing Business As New Smile Dental.

The provider's business location address is:

1021 S 21ST ST
FORT SMITH, AR
ZIP 72901-007
Phone: (479) 434-4277
Fax: (479) 434-4279

The provider's authorized official is Gilberto Lopez .
The authorized official title is Dds and has the following contact phone number (479) 434-4277.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.

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	261QD0000X	Clinic/Center	Dental	3501	ARKANSAS	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	167913631	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: 4/28/2024

NPI Synchronization or Removal

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