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Contact Information

CENTERTON ORTHODONTICS, PLLC
1305 E CENTERTON BLVD
CENTERTON, AR72719
 Phone: 479-412-4140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for CENTERTON ORTHODONTICS, PLLC

NPI # 1043101116
LBN Legal business name CENTERTON ORTHODONTICS, PLLC
Authorized official SKYLAR MAXWELL - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2025
Last updated 07/15/2025 - About 11 months 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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