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Contact Information

CLIFTON G ROAF & MARVIN Q CAUDLE
1310 SOUTH LINDEN STREET
PINE BLUFF, AR71603
 Phone: 870-536-4602
 Fax: 870-536-8604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CLIFTON G ROAF & MARVIN Q CAUDLE

NPI Number 1457645863
LBN Legal business name CLIFTON G ROAF & MARVIN Q CAUDLE
Authorized official CLIFTON ROAF - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2011
Last updated 06/07/2011 - About 15 years ago
Identifiers
AR License # AR1961
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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