Michael Lane Blanscet, DDS
Individual provider Active NPI Endodontics · North Little Rock, AR
NPI 1205816733 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1205816733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- AR 3371 (AR)
- Practice address
- 2504 McCain Blvd Ste 201
North Little Rock, AR 72116-7612 - Phone
- (501) 758-8002
- Fax
- (501) 758-1839
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR 3371 | AR | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural State Endodontics | Endodontics | Current | Accepting new patients |
| Michael L. Blanscet D.D.S., P.L.C. | Endodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | AR | ||
| Endodontics | 1223E0200X | AR 3371 | AR | Yes |
Addresses
Primary practice location
2504 McCain Blvd Ste 201
North Little Rock, AR 72116-7612
Mailing address
2504 McCain Blvd Ste 201
North Little Rock, AR 72116-7612
Phone (501) 758-8002
Other providers in North Little Rock, AR
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- Luvenia Blair
- Jessica Virginia Bland
- Shalae Nicole Bland
- Jordan Elizabeth Blaydes
- Ann G Blaylock
- Hannah Blaylock
- Reid Blaylock
- Krista Paige Bleifus
All providers in North Little Rock, AR · Endodontics in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.