Conway Regional Interfaith Dental Clinic - Medicare Dental Clinic in Conway, AR

Conway Regional Interfaith Dental Clinic is a medicare enrolled dental clinic (Dentist - General Practice) in Conway, Arkansas. The current practice location for Conway Regional Interfaith Dental Clinic is 830 N Creek Dr, Conway, Arkansas. For appointments, you can reach them via phone at (501) 932-0559. The mailing address for Conway Regional Interfaith Dental Clinic is Po Box 9662, Conway, Arkansas and phone number is (501) 852-1363.

Conway Regional Interfaith Dental Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043864093. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (501) 932-0559.

Contact Information

Conway Regional Interfaith Dental Clinic
830 N Creek Dr
Conway
AR 72032-4711
(501) 932-0559
(501) 205-1983

Dental Care Clinic Profile

Full NameConway Regional Interfaith Dental Clinic
SpecialityDentist
Location830 N Creek Dr, Conway, Arkansas
Authorized Official Name and PositionWilliam Pack (CFO)
Authorized Official Contact5014502112
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Conway Regional Interfaith Dental Clinic
Po Box 9662
Conway
AR 72033-9662

Ph: (501) 852-1363
Conway Regional Interfaith Dental Clinic
830 N Creek Dr
Conway
AR 72032-4711

Ph: (501) 932-0559

NPI Details:

NPI Number1043864093
Provider Enumeration Date07/29/2019
Last Update Date11/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3173428414
Medicare Enrollment IDO20191004000080

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Medical Identifiers

Medical identifiers for Conway Regional Interfaith Dental Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043864093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Conway Regional Interfaith Dental Clinic acts as a billing entity for following providers:
Provider NameGary L Jones
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1114447216
PECOS PAC ID: 8123359023
Enrollment ID: I20191008000273

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Immediate response required to curb spread of artemisinin-resistant malaria in Burma

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