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Contact Information

ARKANSAS FAMILY DENTAL, PA
13600 DAVID O. DODD
LITTLE ROCK, AR72210
 Phone: 501-312-7576
 Fax: 501-687-0669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ARKANSAS FAMILY DENTAL, PA

NPI Number 1952431868
LBN Legal business name ARKANSAS FAMILY DENTAL, PA
Authorized official TINA NICHOLS - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 04/25/2013 - About 13 years ago
Identifiers
AR License # 3311
AR License # 3435
AR Medicaid 181913631
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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