North Little Rock Pediatric Dental Group

LBN: G Friend Dds Ms & M Wilson Dds Ms Pa
North Little Rock Pediatric Dental Group is an health care organization with primary practice located at 4605 Fairway Ave , North Little Rock AR 72116. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. G Friend Dds Ms & M Wilson Dds Ms Pa can be contacted via phone (501) 771-2990, or through Wilson, Mark E via phone (501) 771-2990.

Contact Information

Primary practice address
4605 Fairway Ave North Little Rock AR 72116
Fax: (501) 758-0408
Website:
Authorized official contact:
Name: Wilson, Mark E DDS MS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2817 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 2793 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 2700 Arkansas

Profile Details

NPI number 1508889478
LBN Legal business name G Friend Dds Ms & M Wilson Dds Ms Pa
DBA Doing business as North Little Rock Pediatric Dental Group
Authorized official Wilson, Mark E DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1508889478 NPPES
Arkansas Other 5B771 BCBS

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