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Contact Information

CONWAY DENTAL CENTER PLLC
1600 E. OAK STREET SUITE B
CONWAY, AR72032
 Phone: 501-358-4489
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CONWAY DENTAL CENTER PLLC

NPI # 1275035602
LBN Legal business name CONWAY DENTAL CENTER PLLC
Authorized official CHAD MATONE - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2018
Last updated 02/15/2019 - About 7 years ago
Identifiers
AR License # 3574
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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