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Contact Information

NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA
1831 N GREEN ACRES RD
FAYETTEVILLE, AR72703-2615
 Phone: 479-521-2814
 Fax: 479-521-5842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA

NPI # 1528253416
LBN Legal business name NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA
Authorized official JAMES TINNIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2007
Last updated 09/13/2007 - About 19 years ago
Identifiers
AR License # 1998
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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