Arkansas Maxillofacial Surgery Center PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC

Practice address

5400 Highland Dr
Little Rock, AR 72223-2002

Phone

(501) 225-8929

NPI assigned

May 10, 2019

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1366008781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HIGHLAND DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232002",
            "telephone_number": "501-225-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HIGHLAND DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232002",
            "telephone_number": "501-225-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720227520",
            "country_code": "US",
            "telephone_number": "501-943-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkansas Internal Medicine Clinic PA
• Arkansas Longevity Center, PLLC
• Arkansas Manometry LLC
• Arkansas Maxillofacial Surgery Center
• Arkansas Maxillofacial Surgery Center
• Arkansas Medical Specialists PC
• Arkansas Military and First Responder Academy
• Arkansas Neurodiagnostic Center, P. a.
• Arkansas Neurology & Epilepsy Center PA
• Arkansas Neuropsychology Associates

• Oral and Maxillofacial Surgery (Dentist) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.