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Contact Information

DARDANELLE FAMILY DENTISTRY
2533 STATE HIGHWAY 22 W
DARDANELLE, AR72834-8831
 Phone: 479-229-3891
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DARDANELLE FAMILY DENTISTRY

NPI # 1508246489
LBN Legal business name DARDANELLE FAMILY DENTISTRY
Authorized official KATIE CROW-GOATES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2015
Last updated 08/31/2020 - About 6 years ago
Identifiers
AR Other 4037 ASBDE LICENSE
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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