| NPI | 1336659085 |
|---|---|
| Doing Business As | HALL ORTHODONTICS |
| Doing Business As | LEAP KIDS DENTAL |
| Doing Business As | IMPACT DENTAL SPECIALISTS |
| Doing Business As | ARKANSAS ORAL & FACIAL SURGERY CENTER |
| Doing Business As | IMPACT ORAL SURGERY |
| Doing Business As | MY VILLAGE PEDIATRIC DENTISTRY |
| Doing Business As | ARKANSAS ORAL SURGERY |
| Doing Business As | ROCK FAMILY DENTAL |
| Doing Business As | WESTROCK ORTHODONTICS |
| Doing Business As | MANGAN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHANEQUE S PHILMON Credentialing Manager 501-462-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-07-30 |