Cartillar, Djuana Leigh
Cartillar, Djuana Leigh is an sole proprietor health care provider with primary practice located at 4941 North Washington/Highway1 , Forrest City AR 72335. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Cartillar, Djuana Leigh can be contacted via phone (870) 630-1500.Contact Information
Primary practice address
4941 North Washington/Highway1
Forrest City AR 72335
Phone: (870) 630-1500
Fax: (870) 630-6405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3045 | Arkansas |
Profile Details
| NPI number | 1003981283 |
|---|---|
| LBN Legal business name | Cartillar, Djuana Leigh |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Aug 28th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003981283 | NPPES |
| Arkansas | Other | 59632 | BCBS PROVIDER # |
| Arkansas | MEDICAID | 123626608 | BCBS PROVIDER # |
| Arkansas | Other | 710851189 | BCBS PROVIDER # |
| Arkansas | Other | 862131 | BCBS PROVIDER # |
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