Ar Dental & Tmj - Little Rock, Llc

LBN: Ar Dental & Tmj - Little Rock, Llc
Ar Dental & Tmj - Little Rock, Llc is an health care organization with primary practice located at 12018 Chenal Pkwy , Little Rock AR 72211-2759. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Ar Dental & Tmj - Little Rock, Llc can be contacted via phone (501) 225-1577, or through Cupan, Erin via phone (501) 225-1577.

Contact Information

Primary practice address
12018 Chenal Pkwy Little Rock AR 72211-2759
Fax: (501) 219-4780
Website:
Authorized official contact:
Name: Cupan, Erin

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2268 Arkansas
Dental Providers / General Practice 1223G0001X Arkansas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3966 Arkansas

Profile Details

NPI number 1780985978
LBN Legal business name Ar Dental & Tmj - Little Rock, Llc
DBA Doing business as
Authorized official Cupan, Erin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2010
Last updated Mar 21st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780985978 NPPES
Arkansas MEDICAID 180256679

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