Chenal Valley Dental Center PLLC

Organization Active NPI General Practice Dentistry · Little Rock, AR

NPI 1992284863 · NPPES record last updated Feb 15, 2019

Key facts

NPI
1992284863
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
CHENAL VALLEY DENTAL CENTER PLLC
Practice address
30 Rahling Cir
Little Rock, AR 72223-9187
Phone
(501) 821-3133
NPI assigned
Aug 10, 2018
Organization subpart
No

Authorized official

Name
Chad D Matone, DDS
Title
Owner/Dentist
Phone
(501) 205-1084

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

30 Rahling Cir
Little Rock, AR 72223
Phone (424) 309-8407

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X AR Yes

Addresses

Primary practice location

30 Rahling Cir
Little Rock, AR 72223-9187

Mailing address

PO Box 241785
Little Rock, AR 72223-0014
Phone (501) 205-1084

Other providers in Little Rock, AR

All providers in Little Rock, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.