| Brent C Caple DDS PA Pediatric Dentistry | |
|
5204 W Village Pkwy Ste 14 Rogers AR 72758-8146 | |
| (479) 273-6030 | |
| Not Available |
| Full Name | Brent C Caple DDS PA Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5204 W Village Pkwy Ste 14, Rogers, Arkansas |
| Authorized Official Name and Position | Brent Caple (PRESIDENT) |
| Authorized Official Contact | 4792736030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent C Caple DDS PA Pediatric Dentistry 5204 W Village Pkwy Ste 14 Rogers AR 72758-8146 Ph: (479) 273-6030 | Brent C Caple DDS PA Pediatric Dentistry 5204 W Village Pkwy Ste 14 Rogers AR 72758-8146 Ph: (479) 273-6030 |
| NPI Number | 1104690387 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104690387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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