Guarionex Decastro in Little Rock - Dentist
Guarionex Decastro - NPI 1750499547
Guarionex Decastro is a Dentist in Little Rock, Arkansas. Guarionex Decastro practices all healthcare services and medical treatments related to Dentist. The NPI Number for Guarionex Decastro is 1750499547. The last update date is 2007-07-08.
Guarionex Decastro's current location address is 5917 W 12th St, Little Rock, Arkansas. You can contact this provider via phone number 5016638307 and fax number 5016638308. The mailing address for Guarionex Decastro is 5917 W 12th St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Guarionex Decastro |
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Address | 5917 W 12th St, Little Rock, Arkansas |
Phone Number | 5016638307 |
Fax Number | 5016638308 |
Sole Proprietor | Y |
Credentials | D.M.D., P. |
NPI Number Detail
NPI Number | 1750499547 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5917 W 12th St |
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City | Little Rock |
State | Arkansas (AR) |
Post Code | 722041608 |
Phone Number | 5016638307 |
Fax Number | 5016638308 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 3449 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3449 | AR | DELTA DENTAL | |
5X734 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Guarionex Decastro by the Centers for Medicare & Medicaid Services?
The Guarionex Decastro has been issued the NPI (National Provider Identifier) 1750499547, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Guarionex Decastro is physically located?
The Guarionex Decastro is physically situated at the following address: 5917 W 12Th St, Little Rock, AR, 722041608.
What is the Guarionex Decastro's area of specialization and corresponding taxonomy classification?
The Guarionex Decastro's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1750499547 assigned to Guarionex Decastro?
The Guarionex Decastro was issued its 1750499547 on 2006-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Guarionex Decastro most recently updated or refreshed?
The details pertaining to the Guarionex Decastro, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.