Oral Surgery Of Central Arkansas

LBN: Oral Surgery Of Central Arkansas
Oral Surgery Of Central Arkansas is an health care organization with primary practice located at 4701 Fairway Ave Ste D , North Little Rock AR 72116-8069. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Oral Surgery Of Central Arkansas can be contacted via phone (501) 791-7600, or through Patterson, Jennifer via phone (013) 275-2555.

Contact Information

Primary practice address
4701 Fairway Ave Ste D North Little Rock AR 72116-8069
Phone: (501) 791-7600
Fax: (501) 791-2824
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Jennifer
Phone: (013) 275-2555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1245829027
LBN Legal business name Oral Surgery Of Central Arkansas
DBA Doing business as
Authorized official Patterson, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2021
Last updated Jan 18th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245829027 NPPES
Arkansas MEDICAID 200352679

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