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Contact Information

AT EASE DENTAL, LLC
701 NW MCNELLY RD STE 13
BENTONVILLE, AR72712-9160
 Phone: 479-553-9225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AT EASE DENTAL LLC · (Female)

NPI # 1629562616
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2018
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 4275
  • MO License # 2018018775
  • OK License # 7052
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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