National Provider Identifier Database

ARKANSAS ORAL SURGERY
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

ARKANSAS ORAL SURGERY
2425 PRINCE ST
SUITE 2
CONWAY, AR72034-3746
Phone: 501-329-3223
Fax: 501-329-8939
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ARKANSAS ORAL SURGERY

NPI Number 1841461274
Legal business name
LBN
ARKANSAS ORAL SURGERY
Authorized official DONNY QUICK - (ORAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 03/13/2008
Last updated 06/17/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 65
  • AR Medicaid: 165772679
  • AR Medicaid: 165774680
  • Other: 1346203395 NPI INDIVIDUAL
  • AR Other: 1841461274 NPI GROUP

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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