CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA
Surgery Yellow Pages
Searcy, Arkansas
Provider NPI: 1407965106
Organization Information:Organization Name: CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA
Practice Location:
408 W VINE AVE SEARCY, AR 72143 US
Tel: 501-268-7000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
408 W VINE AVE SEARCY, AR 72143 US
Tel: 501-268-7000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | AR | LICENSE 3108 SPEC 54 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
128014679 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin