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Contact Information

AR DENTAL & TMJ - JACKSONVILLE, LLC
1426 BRADEN ST
JACKSONVILLE, AR72076-3721
 Phone: 501-982-3777
 Fax: 501-982-3433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AR DENTAL & TMJ - JACKSONVILLE, LLC

NPI # 1922373794
LBN Legal business name AR DENTAL & TMJ - JACKSONVILLE, LLC
Authorized official ERIN CUPAN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2012
Last updated 08/02/2012 - About 14 years ago
Identifiers n/a
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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