Conway Dental Center Pllc | |
1600 E. Oak Street Suite B Conway AR 72032 | |
(501) 358-4489 | |
Not Available |
Full Name | Conway Dental Center Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1600 E. Oak Street Suite B, Conway, Arkansas |
Authorized Official Name and Position | Chad Matone (OWNER/DENTIST) |
Authorized Official Contact | 5012051084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Conway Dental Center Pllc Po Box 241785 Little Rock AR 72223-0014 Ph: (501) 205-1084 | Conway Dental Center Pllc 1600 E. Oak Street Suite B Conway AR 72032 Ph: (501) 358-4489 |
NPI Number | 1275035602 |
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Provider Enumeration Date | 03/01/2018 |
Last Update Date | 02/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275035602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3574 (Arkansas) | Primary |
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