John Robert Spray in Little Rock - Periodontics

John Robert Spray - NPI 1306853775

John Robert Spray is a Periodontics in Little Rock, Arkansas. John Robert Spray practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John Robert Spray is 1306853775. The last update date is 2013-04-24.

John Robert Spray's current location address is 4815 W Markham St, Little Rock, Arkansas. You can contact this provider via phone number 5012804823 and fax number 5019520453. The mailing address for John Robert Spray is 4815 W Markham St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Robert Spray
Address 4815 W Markham St, Little Rock, Arkansas
Phone Number 5012804823
Fax Number 5019520453
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1306853775
Provider Enumeration Date 2006-08-01
Last Updated Date 2013-04-24

Provider Mailing Address Detail

Address 4815 W Markham St
City Little Rock
State Arkansas (AR)
Post Code 722053866
Phone Number 5012804823
Fax Number 5019520453

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 2393
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about John Robert Spray

What is the unique identifier code issued to John Robert Spray by the Centers for Medicare & Medicaid Services (CMS)?

The John Robert Spray has been assigned the NPI (National Provider Identifier) 1306853775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where John Robert Spray's facilities are situated?

The facilities of John Robert Spray are physically located at the following address: 4815 W Markham St, Little Rock, AR, 722053866.

What is the John Robert Spray's area of specialization and corresponding taxonomy classification?

The John Robert Spray's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1306853775 to John Robert Spray?

The Centers for Medicare & Medicaid Services assigned the 1306853775 to John Robert Spray on 2006-08-01.

As of what date was the information regarding John Robert Spray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Robert Spray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-24.

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