Ethan Erwin Dds Pllc

LBN: Ethan Erwin Dds Pllc
Ethan Erwin Dds Pllc is an health care organization with primary practice located at 102 Ridgeway St , Hot Springs AR 71901-7100. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Ethan Erwin Dds Pllc can be contacted via phone (501) 624-7129, or through Erwin, Ethan via phone (501) 282-1098.

Contact Information

Primary practice address
102 Ridgeway St Hot Springs AR 71901-7100
Phone: (501) 624-7129
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erwin, Ethan Doctor of Dental Surgery (DDS)
Phone: (501) 282-1098

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1568038305
LBN Legal business name Ethan Erwin Dds Pllc
DBA Doing business as
Authorized official Erwin, Ethan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2021
Last updated Jun 2nd, 2021 - about 3 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 1568038305 NPPES
Arkansas MEDICAID 240820608

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