Arkansas Periodontal Associates in Little Rock - Periodontics
Arkansas Periodontal Associates - NPI 1265446165
Arkansas Periodontal Associates is a Periodontics in Little Rock, Arkansas. Arkansas Periodontal Associates practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Arkansas Periodontal Associates is 1265446165. The last update date is 2020-08-22.
Arkansas Periodontal Associates's current location address is 10319 W. Markham St., Little Rock, Arkansas. You can contact this provider via phone number 5012241122 and fax number 5012241990. The mailing address for Arkansas Periodontal Associates is 10319 W. Markham St., Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arkansas Periodontal Associates |
|---|---|
| Address | 10319 W. Markham St., Little Rock, Arkansas |
| Phone Number | 5012241122 |
| Fax Number | 5012241990 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Callan Paul Donald |
| Credentials | D.D.S. |
| Telephone Number | 5012241122 |
NPI Number Detail
| NPI Number | 1265446165 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10319 W. Markham St. |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722054556 |
| Phone Number | 5012241122 |
| Fax Number | 5012241990 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2203 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58556 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Arkansas Periodontal Associates by the Centers for Medicare & Medicaid Services (CMS)?
The Arkansas Periodontal Associates has been assigned the NPI (National Provider Identifier) 1265446165. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Arkansas Periodontal Associates's physical address?
The Arkansas Periodontal Associates is physically located at 10319 W. Markham St., in the city of Little Rock, AR, with the postal code 722054556.
What is Arkansas Periodontal Associates's specialized field of practice, and what is the corresponding taxonomy classification code?
The Arkansas Periodontal Associates's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Arkansas Periodontal Associates receive the assignment of its 1265446165 from the Centers for Medicare & Medicaid Services?
The Arkansas Periodontal Associates was issued its 1265446165 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details pertaining to Arkansas Periodontal Associates last refreshed?
The information related to the Arkansas Periodontal Associates, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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