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Contact Information

AUSTIN FAMILY DENTISTRY PA
3201 CLUB MANOR
SUITE A
MAUMELLE, AR72113
 Phone: 501-851-3262
 Fax: 501-851-3766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AUSTIN FAMILY DENTISTRY PA

NPI # 1255415956
LBN Legal business name AUSTIN FAMILY DENTISTRY PA
Authorized official BRYAN AUSTIN - (OWNER PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 05/06/2013 - About 13 years ago
Identifiers
AR License # AR3057
AR License # AR3521
Other 828326 UCCI DR BRYAN A AUSTIN
Other 1871870 UCCI DR CLINT FULKS
AR Other 58662 BCBS
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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