Bryan Keith Angel in Little Rock - Pediatric Dentistry
Bryan Keith Angel - NPI 1013127505
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 1013127505. The last update date is 2020-08-22.
Bryan Keith Angel's current location address is 300 S Rodney Parham Rd Ste 3, 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 Ste 3, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bryan Keith Angel |
|---|---|
| Address | 300 S Rodney Parham Rd Ste 3, Little Rock, Arkansas |
| Phone Number | 5012244799 |
| Fax Number | 5012249278 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Angel Keith Bryan |
| Credentials | DDS |
| Telephone Number | 5012244799 |
NPI Number Detail
| NPI Number | 1013127505 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 S Rodney Parham Rd Ste 3 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722054774 |
| Phone Number | 5012244799 |
| Fax Number | 5012249278 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3321 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Bryan Keith Angel by the Centers for Medicare & Medicaid Services (CMS)?
The Bryan Keith Angel has been assigned the NPI (National Provider Identifier) 1013127505. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Bryan Keith Angel is physically located?
The Bryan Keith Angel is physically situated at the following address: 300 S Rodney Parham Rd Ste 3, Little Rock, AR, 722054774.
What is Bryan Keith Angel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bryan Keith Angel's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013127505 to Bryan Keith Angel?
The Centers for Medicare & Medicaid Services originally issued the 1013127505 to Bryan Keith Angel on 2007-05-23.
When was the information regarding Bryan Keith Angel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bryan Keith Angel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY