Pediatric Dentistry Of Eastern Arkansas in Forrest City - Pediatric Dentistry
Pediatric Dentistry Of Eastern Arkansas - NPI 1922292531
Pediatric Dentistry Of Eastern Arkansas is a Pediatric Dentistry in Forrest City, Arkansas. Pediatric Dentistry Of Eastern Arkansas practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Of Eastern Arkansas is 1922292531. The last update date is 2007-08-28.
Pediatric Dentistry Of Eastern Arkansas's current location address is 4941 N Washington, Forrest City, Arkansas. You can contact this provider via phone number 8706301500 and fax number 8706306405. The mailing address for Pediatric Dentistry Of Eastern Arkansas is 4941 N Washington, Forrest City, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Of Eastern Arkansas |
|---|---|
| Address | 4941 N Washington, Forrest City, Arkansas |
| Phone Number | 8706301500 |
| Fax Number | 8706306405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RDA/OFFICE |
|---|---|
| Authorized Official Name | Franks Rae Shaorn |
| Credentials | RDA |
| Telephone Number | 8706301500 |
NPI Number Detail
| NPI Number | 1922292531 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 4941 N Washington |
|---|---|
| City | Forrest City |
| State | Arkansas (AR) |
| Post Code | 723353022 |
| Phone Number | 8706301500 |
| Fax Number | 8706306405 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3045 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59632 | AR | BLUE CROSS BLUE SHIELD | |
| 862131 | AR | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Dentistry Of Eastern Arkansas by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Of Eastern Arkansas has been issued the NPI (National Provider Identifier) 1922292531 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pediatric Dentistry Of Eastern Arkansas?
The Pediatric Dentistry Of Eastern Arkansas is physically situated at 4941 N Washington, in the city of Forrest City, state of AR, with the postal code 723353022.
What is Pediatric Dentistry Of Eastern Arkansas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric Dentistry Of Eastern Arkansas is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did Pediatric Dentistry Of Eastern Arkansas receive its 1922292531 assignment?
The Pediatric Dentistry Of Eastern Arkansas was assigned its 1922292531 on 2007-08-28, which is the date when this unique identifier was issued to the organization.
When was the Pediatric Dentistry Of Eastern Arkansas's information last updated?
The Pediatric Dentistry Of Eastern Arkansas's information was last updated on 2007-08-28.