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
Phone: (501) 771-2990
Fax: (501) 758-0408
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508889478 | NPPES |
| Arkansas | Other | 5B771 | BCBS |
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