| Abu Faisal Mohammad Hasme, DDS | |
|
465 Medical Center Pkwy, Clinton, AR 72031-7946 | |
| (501) 745-8811 | |
| (501) 745-5042 |
| Full Name | Abu Faisal Mohammad Hasme |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 465 Medical Center Pkwy, Clinton, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063954139 | NPI | - | NPPES |
| 221694608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4190 (Arkansas) | Primary |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Abu Faisal Mohammad Hasme, DDS Po Box 1060, Marshall, AR 72650-1060 Ph: (870) 448-5101 | Abu Faisal Mohammad Hasme, DDS 465 Medical Center Pkwy, Clinton, AR 72031-7946 Ph: (501) 745-8811 |
Mr. James Verl Beavers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 354 Main St, Clinton, AR 72031 Phone: 501-745-7711 Fax: 501-745-5095 | |
Dr. Donald W. Warren, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 Factory Rd, Suite A, Clinton, AR 72031 Phone: 501-745-4656 Fax: 501-745-6317 | |
Dr. Jesse Blake Kitchens, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 465 Medical Center Pkwy, Clinton, AR 72031 Phone: 501-745-8811 Fax: 501-745-5042 | |
Mr. Kyle Dewayne Hensley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 Hwy 65 S, Clinton, AR 72031 Phone: 501-745-5393 Fax: 501-745-3193 | |
Dr. Darryl W Warren, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 Factory Rd, Suite A, Clinton, AR 72031 Phone: 501-745-4656 Fax: 501-745-6317 |