Lilliam M Prado DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3554 Issued in AR

Legal business name

LILLIAM M PRADO DDS

Doing business as

Faith Dental Clinic

Practice address

7301 Baseline Rd
Little Rock, AR 72209-4436

Phone

(501) 565-3009

Fax

(501) 565-3511

NPI assigned

Aug 31, 2011

Organization subpart

Yes

Parent organization

LILLIAM PRADO D.D.S PAAs reported in NPPES

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

Authorized official

Name

Dr. Lilliam M Prado, D.D.S

Title

Owner

Phone

(501) 565-3009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Faith Dental Clinic Doing business as

Part of

Faith Dental Clinic

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1720369093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094436",
            "telephone_number": "501-565-3009",
            "fax_number": "501-565-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094436",
            "telephone_number": "501-565-3009",
            "fax_number": "501-565-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAM M PRADO DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LILLIAM PRADO D.D.S PA",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-565-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187151631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lighting the Way Therapeutic Services
• Kaley Likes, OT
• Henry Lile, MD
• Scott A Lile, MD
• Amber N Lilley, APRN
• Kevin Michael Lillis, BSN, RN
• Alan Lim, MD
• Cynthia Lim, M.S.
• Molly Lim, LCSW
• Paolo P. Lim, M.D.

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.