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Contact Information

EAST OAK DENTAL PA
1600 E OAK ST
STE B
CONWAY, AR72032
 Phone: 501-358-4101
 Fax: 501-504-2545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for EAST OAK DENTAL PA · (Female)

NPI Number 1083032379
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2014
Last updated 10/29/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 3769
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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