| Congo Dental, Pllc | |
|
2101 Congo Rd Ste C Benton AR 72015-2703 | |
| (501) 778-1400 | |
| (501) 778-6194 |
| Full Name | Congo Dental, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Congo Rd Ste C, Benton, Arkansas |
| Authorized Official Name and Position | Tracy Marie Schroepfer (DENTIST) |
| Authorized Official Contact | 5017781400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Congo Dental, Pllc 2101 Congo Rd Ste C Benton AR 72015-2703 Ph: (501) 778-1400 | Congo Dental, Pllc 2101 Congo Rd Ste C Benton AR 72015-2703 Ph: (501) 778-1400 |
| NPI Number | 1295423192 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 4385000892 |
|---|---|
| Medicare Enrollment ID | O20230525000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295423192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tracy Schroepfer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154973303 PECOS PAC ID: 8820400427 Enrollment ID: I20230525000648 |
Epoch Health- Benton, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Park Dr, Benton, AR 72015 Phone: 877-321-8452 | |
Ascent Childrens Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester Dr., Benton, AR 72015 Phone: 501-326-6160 Fax: 501-326-6161 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-8377 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6010 | |
West Side Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W South St Ste A, Benton, AR 72015 Phone: 501-794-6123 Fax: 501-794-6148 | |
West Side Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 W South St, Benton, AR 72015 Phone: 501-778-3151 Fax: 501-778-7329 |