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Contact Information

FAITH DENTAL CLINIC
8211 GEYER SPRINGS RD
LITTLE ROCK, AR72209-4952
 Phone: 501-562-1665
 Fax: 501-562-1667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for FAITH DENTAL CLINIC

NPI Number 1124285689
LBN Legal business name FAITH DENTAL CLINIC
Authorized official LILLIAM PRADO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2008
Last updated 05/21/2008 - About 18 years ago
Identifiers
AR Medicaid 163107608
AR Other B/S 5Y875 BLUE CROSS BLUE SHIELD
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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