Childrens Dental Clinic Of Jonesboro

LBN: Childrens Dental Clinic Of Jonesboro
Childrens Dental Clinic Of Jonesboro is an health care organization with primary practice located at 217 E Cherry Ave , Jonesboro AR 72401-3372. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Dental. Dental Providers / Pediatric Dentistry is the primary health care specialty. Childrens Dental Clinic Of Jonesboro can be contacted via phone (870) 897-2489, or through Lee, Lauren via phone (870) 897-9465.

Contact Information

Primary practice address
217 E Cherry Ave Jonesboro AR 72401-3372
Phone: (870) 897-2489
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Lauren
Phone: (870) 897-9465

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1942762273
LBN Legal business name Childrens Dental Clinic Of Jonesboro
DBA Doing business as
Authorized official Lee, Lauren
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2019
Last updated Dec 22nd, 2020 - about 5 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 1942762273 NPPES
Arkansas MEDICAID 1023240595

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