| North Little Rock Pediatric Dental Group | |
|
4605 Fairway Ave North Little Rock AR 72116 | |
| (501) 771-2990 | |
| (501) 758-0408 |
| Full Name | North Little Rock Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4605 Fairway Ave, North Little Rock, Arkansas |
| Authorized Official Name and Position | Mark E Wilson (CO OWNER) |
| Authorized Official Contact | 5017712990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Little Rock Pediatric Dental Group 4605 Fairway Ave North Little Rock AR 72116 Ph: (501) 771-2990 | North Little Rock Pediatric Dental Group 4605 Fairway Ave North Little Rock AR 72116 Ph: (501) 771-2990 |
| NPI Number | 1508889478 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508889478 | NPI | - | NPPES |
| 5B771 | Other | AR | BCBS |
Dr. Kerry Moon, D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Crestwood Rd Ste 201, North Little Rock, AR 72116 Phone: 501-758-5006 | |
Dental Health Center Of Arkansas, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Main St, North Little Rock, AR 72114 Phone: 501-812-4949 Fax: 501-812-4994 | |
Peder Jensen, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Crestwood Rd, Ste 102, North Little Rock, AR 72116 Phone: 501-758-6182 Fax: 501-758-6184 | |
Orahood Blanscet Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Mccain Blvd Ste 201, North Little Rock, AR 72116 Phone: 501-758-8002 Fax: 501-758-1839 | |
Denesh K Khullar Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Crestwood Rd Ste 2, North Little Rock, AR 72116 Phone: 501-753-7366 | |
Grounds & Meggers Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Camp Robinson Rd, Suite B, North Little Rock, AR 72118 Phone: 501-753-5564 Fax: 501-753-8650 | |
David F Brockman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Crestwood Rd, Suite 2, North Little Rock, AR 72116 Phone: 501-753-7366 |