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Contact Information

GENTLE DENTAL OF SILOAM SPRINGS PA
1675 W JEFFERSON
SUITE B
SILOAM SPRINGS, AR72761
 Phone: 479-524-6182
 Fax: 479-549-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GENTLE DENTAL OF SILOAM SPRINGS PA

NPI # 1053572784
LBN Legal business name GENTLE DENTAL OF SILOAM SPRINGS PA
Authorized official MICHELLE WOOD - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2008
Last updated 10/19/2009 - About 17 years ago
Identifiers
OK Medicaid 200254370A
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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