S Todd Phelan, Dds, Pa in Rogers - General Practice
S Todd Phelan, Dds, Pa - NPI 1508054214
S Todd Phelan, Dds, Pa is a General Practice in Rogers, Arkansas. S Todd Phelan, Dds, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for S Todd Phelan, Dds, Pa is 1508054214. The last update date is 2008-12-11.
S Todd Phelan, Dds, Pa's current location address is 2102 W Pleasant Grove Rd, Rogers, Arkansas. You can contact this provider via phone number 4796363400 and fax number 4796363407. The mailing address for S Todd Phelan, Dds, Pa is 2102 W Pleasant Grove Rd, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | S Todd Phelan, Dds, Pa |
|---|---|
| Address | 2102 W Pleasant Grove Rd, Rogers, Arkansas |
| Phone Number | 4796363400 |
| Fax Number | 4796363407 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Phelan Todd |
| Credentials | DDS |
| Telephone Number | 4796363400 |
NPI Number Detail
| NPI Number | 1508054214 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2008-12-11 |
Provider Mailing Address Detail
| Address | 2102 W Pleasant Grove Rd |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 72758 |
| Phone Number | 4796363400 |
| Fax Number | 4796363407 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3489 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 167741631 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to S Todd Phelan, Dds, Pa by the Centers for Medicare & Medicaid Services?
The S Todd Phelan, Dds, Pa has been assigned the NPI (National Provider Identifier) 1508054214. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where S Todd Phelan, Dds, Pa is physically located?
The S Todd Phelan, Dds, Pa is situated at the following address: 2102 W Pleasant Grove Rd, Rogers, AR 72758.
What is the S Todd Phelan, Dds, Pa's area of specialization and corresponding taxonomy classification?
The S Todd Phelan, Dds, Pa's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When was the S Todd Phelan, Dds, Pa's 1508054214 issued?
The S Todd Phelan, Dds, Pa's 1508054214 was issued on 2007-10-09.
When was the information regarding S Todd Phelan, Dds, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to S Todd Phelan, Dds, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-12-11.
NPI Number: 1215930425
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