Robert David Flannigan II, D.D.S.

Individual provider Active NPI General Practice Dentistry · Monette, AR

NPI 1962563973 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1962563973
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2251 (AR)
Practice address
305 West Drew Ave.
Monette, AR 72447
Phone
(870) 486-2312
Fax
(870) 486-2419
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2251ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D Flannigan D.D.S. L.L.C. General Practice Past Accepting new patients
Robert D Flannigan III D.D.S. P.L.L.C. General Practice Past
since Dec 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2251 AR Yes

Addresses

Primary practice location

305 West Drew Ave.
Monette, AR 72447

Mailing address

PO Box 449
Monette, AR 72447-0449
Phone (870) 486-2312

Other providers in Monette, AR

All providers in Monette, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.