| Maxillofacial Surgery Center Of Central Arkansas | |
|
525 Western Ave Ste 204 Conway AR 72034-4980 | |
| (501) 336-8888 | |
| Not Available |
| Full Name | Maxillofacial Surgery Center Of Central Arkansas |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 525 Western Ave Ste 204, Conway, Arkansas |
| Authorized Official Name and Position | Mitch L Mitchell (OWNER) |
| Authorized Official Contact | 5013368888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxillofacial Surgery Center Of Central Arkansas 525 Western Ave Ste 204 Conway AR 72034-4980 Ph: () - | Maxillofacial Surgery Center Of Central Arkansas 525 Western Ave Ste 204 Conway AR 72034-4980 Ph: (501) 336-8888 |
| NPI Number | 1649446162 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649446162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3079 (Arkansas) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | N8414 (Arkansas) | Secondary |
Kidz Choice Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 Prince St Ste 105, Conway, AR 72034 Phone: 501-327-2030 Fax: 501-327-0242 | |
Kirby J. Robinson, Dds Of Arkansas, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Dave Ward Drive, Ste 101, Conway, AR 72034 Phone: 501-238-9801 | |
Conway Regional Medical Center, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 830 N Creek Dr, Conway, AR 72032 Phone: 501-932-0559 Fax: 501-205-1983 | |
Lenderman And Meek Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Donaghey Ave Ste 1, Conway, AR 72034 Phone: 501-327-3800 | |
East Oak Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E Oak St, Ste B, Conway, AR 72032 Phone: 501-358-4101 Fax: 501-504-2545 | |
Richard L. Wiedower, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Salem Rd, Conway, AR 72034 Phone: 501-327-9988 Fax: 501-327-9991 | |
Luke Adlong Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Prince St, Conway, AR 72034 Phone: 501-733-6525 |