Arkansas Dentistry And Braces

LBN: Bethel Burris Oliver Pllc
Arkansas Dentistry And Braces is an health care organization with primary practice located at 4375 N Vantage Dr Suite 202, Fayetteville AR 72703-4982. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Bethel Burris Oliver Pllc can be contacted via phone (870) 972-8294, or through Burris, Benjamin G via phone (870) 972-8294.

Contact Information

Primary practice address
4375 N Vantage Dr Suite 202 Fayetteville AR 72703-4982
Phone: (870) 972-8294
Fax: (870) 735-7853
Website:
Map and Directions
Authorized official contact:
Name: Burris, Benjamin G DDS, MDS
Phone: (870) 972-8294

Health care specialties

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

Profile Details

NPI number 1487095139
LBN Legal business name Bethel Burris Oliver Pllc
DBA Doing business as Arkansas Dentistry And Braces
Authorized official Burris, Benjamin G DDS, MDS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2013
Last updated May 4th, 2015 - about 10 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 1487095139 NPPES
Arkansas MEDICAID 190787631

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