Arkansas Orthodontic Center

LBN: Arkansas Orthodontic Center
Arkansas Orthodontic Center is an health care organization with primary practice located at 3409 Gateway Cove , Jonesboro AR 72404. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Arkansas Orthodontic Center can be contacted via phone (870) 972-0460, or through Burris, Benjamin Gray via phone (870) 972-8249.

Contact Information

Primary practice address
3409 Gateway Cove Jonesboro AR 72404
Phone: (870) 972-0460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burris, Benjamin Gray DDS MDS PA
Phone: (870) 972-8249

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3465 Arkansas

Profile Details

NPI number 1740449339
LBN Legal business name Arkansas Orthodontic Center
DBA Doing business as
Authorized official Burris, Benjamin Gray DDS MDS PA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Aug 19th, 2008 - about 16 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 1740449339 NPPES
Arkansas MEDICAID 167957631

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