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Smiles of Arkansas Dental Center, PLLC

Organization Active NPI General Practice Dentistry · Dequeen, AR

NPI 1043445455 · NPPES record last updated May 29, 2009

Key facts

NPI
1043445455
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
SMILES OF ARKANSAS DENTAL CENTER, PLLC
Practice address
110 West Dequeen Avenue
Suite B
Dequeen, AR 71832
Phone
(870) 642-7645
NPI assigned
May 29, 2009
Organization subpart
No

Authorized official

Name
Garland Reese Shuffield
Title
Business Manager
Phone
(870) 777-9083

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Smiles of Arkansas Dental Center PLLC (5 organizations share this tax ID)

Locations

110 W Dequeen Ave
Ste B
De Queen, AR 71832
Phone (870) 642-7645

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

110 West Dequeen Avenue
Suite B
Dequeen, AR 71832

Mailing address

110 West Dequeen Avenue
Suite B
Dequeen, AR 71832
Phone (870) 642-7645

Other names

  • DeQueen Division Other name

Other providers in Dequeen, AR

All providers in Dequeen, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.