Maxillofacial Surgery Center Of Central Arkansas

LBN: Maxillofacial Surgery Center Of Central Arkansas
Maxillofacial Surgery Center Of Central Arkansas is an health care organization with primary practice located at 525 Western Ave Ste 204 , Conway AR 72034-4980. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Maxillofacial Surgery Center Of Central Arkansas can be contacted via phone (501) 336-8888, or through Mitchell, Mitch L via phone (501) 336-8888.

Contact Information

Primary practice address
525 Western Ave Ste 204 Conway AR 72034-4980
Phone: (501) 336-8888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Mitch L M.D., D.D.S.
Phone: (501) 336-8888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3079 Arkansas
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X N8414 Arkansas

Profile Details

NPI number 1649446162
LBN Legal business name Maxillofacial Surgery Center Of Central Arkansas
DBA Doing business as
Authorized official Mitchell, Mitch L M.D., D.D.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 17 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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