Maxillofacial Surgery Center
LBN: Oral & Facial Surgery Center Pa
Maxillofacial Surgery Center is an health care organization with primary practice located at 3996 N Frontage Rd , Fayetteville AR 72703-5122. 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.
Oral & Facial Surgery Center Pa can be contacted via phone (479) 582-3002, or through Bolding, Scotty L via phone (479) 957-4611.
Contact Information
Primary practice address
3996 N Frontage Rd
Fayetteville AR 72703-5122
Phone: (479) 582-3002
Fax: (479) 582-2840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1891744462 |
|---|---|
| LBN Legal business name | Oral & Facial Surgery Center Pa |
| DBA Doing business as | Maxillofacial Surgery Center |
| Authorized official | Bolding, Scotty L DDS, MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jun 7th, 2022 - about 3 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 | 1891744462 | NPPES |
| Arkansas | MEDICAID | 127319680 | |
| Arkansas | MEDICAID | 230273680 | |
| Arkansas | MEDICAID | 239128680 |
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