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Contact Information

BEAVERS AND BROOMFIELD FAMILY DENTISTRY
2131 N CROSSOVER RD
SUITE101
FAYETTEVILLE, AR72703-4333
 Phone: 479-856-6610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BEAVERS AND BROOMFIELD FAMILY DENTISTRY

NPI Number 1881842136
LBN Legal business name BEAVERS AND BROOMFIELD FAMILY DENTISTRY
Authorized official KRISTEN BEAVERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2008
Last updated 08/28/2008 - About 18 years ago
Identifiers
AR License # 3600
AR Medicaid 168653631
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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