S Todd Phelan, Dds, Pa

LBN: S Todd Phelan, Dds, Pa
S Todd Phelan, Dds, Pa is an health care organization with primary practice located at 2102 W Pleasant Grove Rd Suite 1, Rogers AR 72758. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. S Todd Phelan, Dds, Pa can be contacted via phone (479) 636-3400, or through Phelan, Todd via phone (479) 636-3400.

Contact Information

Primary practice address
2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758
Phone: (479) 636-3400
Fax: (479) 636-3407
Website:
Map and Directions
Authorized official contact:
Name: Phelan, Todd Doctor of Dental Surgery (DDS)
Phone: (479) 636-3400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3489 Arkansas

Profile Details

NPI number 1508054214
LBN Legal business name S Todd Phelan, Dds, Pa
DBA Doing business as
Authorized official Phelan, Todd Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Dec 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508054214 NPPES
Arkansas MEDICAID 167741631

Popular Providers