US Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3274 Issued in AR

Legal business name

US DENTAL

Practice address

105 Cracker Box LN Ste B
Hot Springs, AR 71913-5490

Phone

(501) 767-4600

Fax

(501) 767-4399

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Zoran D Ilic, DDS

Title

Dentist

Phone

(501) 767-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1952548703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CRACKER BOX LN STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135490",
            "telephone_number": "501-767-4600",
            "fax_number": "501-767-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CRACKER BOX LN STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135490",
            "telephone_number": "501-767-4600",
            "fax_number": "501-767-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "ILIC",
        "authorized_official_first_name": "ZORAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-767-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.