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Contact Information

KAREN M IMBODEN, DDS
326 N ROSSER ST
FORREST CITY, AR72335
 Phone: 870-633-4591
 Fax: 870-633-8560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KAREN M IMBODEN · (Female)

NPI # 1821182353
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 3056
  • AR Medicaid 124517608
  • AR Other UNITED CONCORDIA 001434036
  • AR Other BLUE CROSS BS FEDERA 58814
  • AR Other 710770496 DELTA DENTAL
  • AR Other 71-0770496 TAX ID
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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