1457405730 NPI number — DENTAL SOLUTIONS OF CENTRAL ARKANSAS PA

Table of content: (NPI 1457405730)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457405730 NPI number — DENTAL SOLUTIONS OF CENTRAL ARKANSAS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DENTAL SOLUTIONS OF CENTRAL ARKANSAS PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457405730
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 FRONT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONWAY
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72032-5419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-327-2586
Provider Business Mailing Address Fax Number:
501-329-8934

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 FRONT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONWAY
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72032-5419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-327-2586
Provider Business Practice Location Address Fax Number:
501-329-8934
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
REESE
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
501-327-2586

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1385732 . This is a "UCCI GROUP PROVIDER ID" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 5C402 . This is a "ARK BCBS GROUP PROVIDER #" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




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