Gaines, Karla Kay
Gaines, Karla Kay is an sole proprietor health care provider with primary practice located at 802 N Dixieland Rd , Rogers AR 72756. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gaines, Karla Kay can be contacted via phone (479) 936-8800.Contact Information
Primary practice address
802 N Dixieland Rd
Rogers AR 72756
Phone: (479) 936-8800
Fax: (479) 936-8808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3098 | Arkansas |
Profile Details
| NPI number | 1265448484 |
|---|---|
| LBN Legal business name | Gaines, Karla Kay |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 3rd, 2020 - about 5 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 | 1265448484 | NPPES |
| Arkansas | Other | 59982 | BCBS |
| Arkansas | Other | 109051 | BCBS |
| Arkansas | MEDICAID | 125300608 | BCBS |
| Arkansas | Other | 3098 | BCBS |
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