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Contact Information

CALVIN B. SUFFRIDGE, DDS, PA
8 PARKSTONE CIR
SUITE B
NORTH LITTLE ROCK, AR72116-7086
 Phone: 501-907-6000
 Fax: 501-907-5664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CALVIN B. SUFFRIDGE, DDS, PA

NPI # 1598812224
LBN Legal business name CALVIN B. SUFFRIDGE, DDS, PA
Authorized official CALVIN SUFFRIDGE - (ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 03/30/2011 - About 15 years ago
Identifiers
AR License # 3182
AR Other 5X097 BCBS HEALTH ADVANTAGE
AR Other 1388393 UNITED CONCORDIA
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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