| Millennium Dental, Pllc | |
|
2827 E Millennium Pl Ste 3 Fayetteville AR 72703-6528 | |
| (479) 521-4440 | |
| (479) 521-4443 |
| Full Name | Millennium Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2827 E Millennium Pl Ste 3, Fayetteville, Arkansas |
| Authorized Official Name and Position | Michael S Nelson (DENTIST) |
| Authorized Official Contact | 4795214440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Dental, Pllc 2827 E Millennium Pl Ste 3 Fayetteville AR 72703-6528 Ph: (479) 521-4440 | Millennium Dental, Pllc 2827 E Millennium Pl Ste 3 Fayetteville AR 72703-6528 Ph: (479) 521-4440 |
| NPI Number | 1215947304 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215947304 | NPI | - | NPPES |
| 1790011 | Other | AR | UNITED CONCORDIA ID |
| 5T702 | Other | AR | BLUE CROSS BLUE SHIELD ID |
| AR3216 | Other | AR | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AR3216 (Arkansas) | Primary |
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› Verified 3 days ago
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