| S Todd Phelan, Dds, Pa | |
|
2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758 | |
| (479) 636-3400 | |
| (479) 636-3407 |
| Full Name | S Todd Phelan, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2102 W Pleasant Grove Rd, Rogers, Arkansas |
| Authorized Official Name and Position | Todd Phelan (PRESIDENT) |
| Authorized Official Contact | 4796363400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Todd Phelan, Dds, Pa 2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758 Ph: (479) 636-3400 | S Todd Phelan, Dds, Pa 2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758 Ph: (479) 636-3400 |
| NPI Number | 1508054214 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508054214 | NPI | - | NPPES |
| 167741631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3489 (Arkansas) | Primary |
News Archive
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› Verified 3 days ago
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