Dr John M Lally, DDS is a
Dentist - General Practice based in Mcgehee, Arkansas. Dr John M Lally is licensed to practice in Arkansas (license number 2164) and his current practice location is
601 N 2nd St, Mcgehee, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 222-3926.
NPI number for Dr John M Lally is 1194745745 and his current mailing address is 601 N 2nd St, Mcgehee, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194745745.
Healthcare Provider's Profile
| Full Name | Dr John M Lally |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 601 N 2nd St, Mcgehee, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194745745
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr John M Lally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194745745 | NPI | - | NPPES |
| 139106631 | Medicaid | AR | |
| 000834033 | Other | AR | UNITED CONCORDIA PROVIDER |
| 58382 | Other | AR | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 2164 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John M Lally is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John M Lally, DDS
601 N 2nd St,
Mcgehee, AR 71654-2005
Ph: (870) 222-3926 | Dr John M Lally, DDS
601 N 2nd St,
Mcgehee, AR 71654-2005
Ph: (870) 222-3926 |
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