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Contact Information

AUSTIN FAMILY DENTISTRY PA
3201 CLUB MANOR
SUITE A
MAUMELLE, AR72113
 Phone: 501-851-3262
 Fax: 501-851-3766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AUSTIN FAMILY DENTISTRY PA · (Female)

NPI # 1255415956
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 05/06/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # AR3057
  • AR License # AR3521
  • Other 828326 UCCI DR BRYAN A AUSTIN
  • Other 1871870 UCCI DR CLINT FULKS
  • AR Other 58662 BCBS
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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