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Contact Information

FAMILY DENTISTRY
701 C 7TH STREET
MENA, AR71953
 Phone: 479-394-5666
 Fax: 479-996-6536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FAMILY DENTISTRY · (Female)

NPI # 1710101548
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2007
Last updated 08/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 2864
  • AR Other 884517 BCBS
  • AR Other 58213 BCBS FEDERAL
  • PA Other 610535 UNITED CONCORDIA
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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