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Contact Information

KLW DENTISTRY
2000 FIELDERS RD
JONESBORO, AR72401-1937
 Phone: 870-972-6985
 Fax: 870-972-5536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KLW DENTISTRY

NPI # 1689053597
LBN Legal business name KLW DENTISTRY
Authorized official KATY WAGNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2015
Last updated 05/26/2015 - About 11 years ago
Identifiers n/a
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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