National Provider Identifier Database

MODELEVSKY DDS PA
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

MODELEVSKY DDS PA
906 OSLER DR
JONESBORO, AR72401-4366
Phone: 870-972-8570
Fax: 870-972-5451
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for MODELEVSKY DDS PA

NPI Number 1922267657
Legal business name
LBN
MODELEVSKY DDS PA
Authorized official TERI MODELEVSKY - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/06/2008
Last updated 06/19/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 2302

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.

Reviews for MODELEVSKY DDS PA

There are currently no reviews for MODELEVSKY DDS PA


NPIdb - Home
v2.201