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 707 Parkway St Ste 103 , Conway AR 72034-5363. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Oral Surgery Of Central Arkansas can be contacted via phone (501) 327-5255, or through Johnson, John M via phone (501) 327-5255.

Contact Information

Primary practice address
707 Parkway St Ste 103 Conway AR 72034-5363
Phone: (501) 327-5255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, John M Doctor of Dental Surgery (DDS)
Phone: (501) 327-5255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 3775 Arkansas

Profile Details

NPI number 1346612728
LBN Legal business name Oral Surgery Of Central Arkansas
DBA Doing business as
Authorized official Johnson, John M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 9 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 1346612728 NPPES
Arkansas MEDICAID 202575679

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