Spades Dental Care, P.A.

LBN: Spades Dental Care, P.A.
Spades Dental Care, P.A. is an health care organization with primary practice located at 900 Southwest Dr Ste C&D, Jonesboro AR 72401-7051. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Spades Dental Care, P.A. can be contacted via phone (870) 910-0000, or through Spades, William Austin via phone (870) 910-0000.

Contact Information

Primary practice address
900 Southwest Dr Ste C&D Jonesboro AR 72401-7051
Phone: (870) 910-0000
Fax: (870) 910-3500
Website:
Map and Directions
Authorized official contact:
Name: Spades, William Austin Doctor of Dental Surgery (DDS)
Phone: (870) 910-0000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3299 Arkansas

Profile Details

NPI number 1861667131
LBN Legal business name Spades Dental Care, P.A.
DBA Doing business as
Authorized official Spades, William Austin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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 1861667131 NPPES
Arkansas Other 5U366 ARKANSAS BLUE CROSS AND BLUE SHIELD
Arkansas MEDICAID 136699608 ARKANSAS BLUE CROSS AND BLUE SHIELD

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