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Contact Information

FAITH DENTAL CLINIC
8211 GEYER SPRINGS RD
LITTLE ROCK, AR72209-4952
 Phone: 501-562-1665
 Fax: 501-562-1667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for FAITH DENTAL CLINIC · (Female)

NPI # 1124285689
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2008
Last updated 05/21/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 163107608
  • AR Other B/S 5Y875 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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