Paul D Baltz, DDS
Individual provider Active NPI General Practice Dentistry · Pocahontas, AR
NPI 1407076144 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407076144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2790 (AR)
- Practice address
- 412 W Broadway St
Pocahontas, AR 72455-3423 - Phone
- (870) 892-4394
- Fax
- (870) 892-9089
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2790 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Care of Pocahontas Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2790 | AR | Yes |
Addresses
Primary practice location
412 W Broadway St
Pocahontas, AR 72455-3423
Mailing address
412 W Broadway
Pocahontas, AR 72455
Phone (870) 892-4394
Other providers in Pocahontas, AR
- Daniel Baltz
- Holly Ann Baltz
- Karla T. Baltz
- Logan Baltz
- Nancy J Baltz
- Faith Banks
- Allie Kay Barnes
- Chelsea R Barnett
- Basco Chiropractic Clinic
- Dennis Geary Basco
All providers in Pocahontas, AR · General Practice Dentistry 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 8, 2007. 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.