Beavers And Broomfield Family Dentistry

LBN: Beavers And Broomfield Family Dentistry
Beavers And Broomfield Family Dentistry is an health care organization with primary practice located at 2131 N Crossover Rd Suite101, Fayetteville AR 72703-4333. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Beavers And Broomfield Family Dentistry can be contacted via phone (479) 856-6610, or through Beavers, Kristen via phone (479) 856-6610.

Contact Information

Primary practice address
2131 N Crossover Rd Suite101 Fayetteville AR 72703-4333
Phone: (479) 856-6610
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beavers, Kristen Doctor of Dental Surgery (DDS)
Phone: (479) 856-6610

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3600 Arkansas

Profile Details

NPI number 1881842136
LBN Legal business name Beavers And Broomfield Family Dentistry
DBA Doing business as
Authorized official Beavers, Kristen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Aug 28th, 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 1881842136 NPPES
Arkansas MEDICAID 168653631

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