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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for ARKANSAS ORAL SURGERY

NPI Number 1841461274
LBN Legal business name ARKANSAS ORAL SURGERY
Authorized official DONNY QUICK - (ORAL SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2008
Last updated 06/17/2008 - About 18 years ago
Identifiers
AR License # 65
AR Medicaid 165772679
AR Medicaid 165774680
Other 1346203395 NPI INDIVIDUAL
AR Other 1841461274 NPI GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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