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An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X | |||
Dentist |
122300000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Periodontics |
1223P0300X |
| NPI Number | 1376237701 |
| LBN Legal business name | ARKANSAS CHILDREN'S MEDICAL GROUP, PLLC |
| Authorized official | ROBERT WILLIAMS - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/07/2023 |
| Last updated | 06/07/2023 - About 3 years ago |
| Identifiers | n/a |
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ARKANSAS CHILDREN'S MEDICAL GROUP, PLLC