Bryan Keith Angel in Little Rock - Pediatric Dentistry
Bryan Keith Angel - NPI 1003826314
Bryan Keith Angel is a Pediatric Dentistry in Little Rock, Arkansas. Bryan Keith Angel practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bryan Keith Angel is 1003826314. The last update date is 2007-07-08.
Bryan Keith Angel's current location address is 300 S Rodney Parham Rd, Little Rock, Arkansas. You can contact this provider via phone number 5012244799 and fax number 5012249278. The mailing address for Bryan Keith Angel is 300 S Rodney Parham Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Keith Angel |
|---|---|
| Address | 300 S Rodney Parham Rd, Little Rock, Arkansas |
| Phone Number | 5012244799 |
| Fax Number | 5012249278 |
| Sole Proprietor | Y |
| Credentials | DDS, PA |
NPI Number Detail
| NPI Number | 1003826314 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 S Rodney Parham Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722054747 |
| Phone Number | 5012244799 |
| Fax Number | 5012249278 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3321 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145950608 | AR | -- |
Post Comment/ Review Below
What is the Bryan Keith Angel's 1003826314?
The Bryan Keith Angel's NPI (National Provider Identifier) Number is 1003826314. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bryan Keith Angel?
The Bryan Keith Angel is situated at 300 S Rodney Parham Rd, in the city of Little Rock, state of AR, with the zip code 722054747.
What is Bryan Keith Angel's area of expertise and its corresponding taxonomy classification?
The Bryan Keith Angel's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When did the Bryan Keith Angel receive its 1003826314?
The Bryan Keith Angel was issued its 1003826314 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Bryan Keith Angel's details last updated?
The information pertaining to the Bryan Keith Angel, including its address, specialty, and other details, was most recently updated on 2007-07-08.