Gavin Trogdon Dds Pa

LBN: Gavin Trogdon Dds Pa
Gavin Trogdon Dds Pa is an health care organization with primary practice located at 181 W Main St , Farmington AR 72730-2945. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gavin Trogdon Dds Pa can be contacted via phone (479) 267-5009, or through Trogdon, Gavin via phone (479) 267-5009.

Contact Information

Primary practice address
181 W Main St Farmington AR 72730-2945
Phone: (479) 267-5009
Fax: (479) 267-5029
Website:
Map and Directions
Authorized official contact:
Name: Trogdon, Gavin DDS, PA
Phone: (479) 267-5009

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3959 Arkansas

Profile Details

NPI number 1386041549
LBN Legal business name Gavin Trogdon Dds Pa
DBA Doing business as
Authorized official Trogdon, Gavin DDS, PA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2014
Last updated Sep 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 1386041549 NPPES
Arkansas MEDICAID 198735608

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