1568986511 NPI number — HURST FAMILY DENTAL CARE, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568986511 NPI number — HURST FAMILY DENTAL CARE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HURST FAMILY DENTAL CARE, PLLC
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:
1568986511
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 819
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VAN BUREN
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72957-0819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
479-461-7811
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1205 E POINTER TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VAN BUREN
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72956-2317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-474-1972
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HURST
Authorized Official First Name:
MARK
Authorized Official Middle Name:
HAYS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
479-474-1972

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  3324 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 148313608 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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