Arkansas Dentistry And Braces

LBN: Bethel Burris Oliver Pllc
Arkansas Dentistry And Braces is an health care organization with primary practice located at 4803 E Johnson Ave , Jonesboro AR 72401-8413. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Bethel Burris Oliver Pllc can be contacted via phone (870) 206-7835, or through Burris, Benjamin G via phone (479) 445-6335.

Contact Information

Primary practice address
4803 E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 206-7835
Fax: (870) 206-7837
Website:
Map and Directions
Authorized official contact:
Name: Burris, Benjamin G DDS, MDS, PA
Phone: (479) 445-6335

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1700290194
LBN Legal business name Bethel Burris Oliver Pllc
DBA Doing business as Arkansas Dentistry And Braces
Authorized official Burris, Benjamin G DDS, MDS, PA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2014
Last updated Mar 4th, 2015 - about 9 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 1700290194 NPPES
Arkansas MEDICAID 206261631
Arkansas Other 206304680

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