RIDGE DENTAL GROUP PLLC NPI 1972263739

NPI Information

NPI: 1972263739
Provider Name: RIDGE DENTAL GROUP PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
808 HIGHWAY 64 E
WYNNE, AR
ZIP 72396
Phone: (870) 238-2600
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RIDGE DENTAL GROUP PLLC is a dental clinic center in Wynne, AR. RIDGE DENTAL GROUP PLLC NPI is 1972263739. The provider is registered as an organization entity type.

The provider's business location address is:

808 HIGHWAY 64 E
WYNNE, AR
ZIP 72396-414
Phone: (870) 238-2600

The provider's authorized official is Kelli Ellen Vanhouten- Grubbs .
The authorized official title is Partner and has the following contact phone number (870) 238-2600.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

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			Yes

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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