Woodard, Ernest Stanley

Woodard, Ernest Stanley is an individual health care provider with primary practice located at 11300 Cantrell Rd Ste 303 , Little Rock AR 72212-1844. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Woodard, Ernest Stanley can be contacted via phone (501) 228-5700.

Contact Information

Primary practice address
11300 Cantrell Rd Ste 303 Little Rock AR 72212-1844
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3423 Arkansas

Profile Details

NPI number 1407869399
LBN Legal business name Woodard, Ernest Stanley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407869399 NPPES
Arkansas MEDICAID 150289679

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