National Provider Identifier Database

ORAL SURGERY OF CENTRAL ARKANSAS
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

ORAL SURGERY OF CENTRAL ARKANSAS
707 PARKWAY ST STE 103
CONWAY, AR72034-5363
Phone: 501-327-5255
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL SURGERY OF CENTRAL ARKANSAS

NPI Number 1346612728
Legal business name
LBN
ORAL SURGERY OF CENTRAL ARKANSAS
Authorized official JOHN JOHNSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/26/2015
Last updated 10/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 3775
  • AR Medicaid: 202575679

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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