ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC (NPI# 1366008781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366008781 |
| Entity Type | Organization |
| Organization Name | ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC |
| Practice Address |
5400 Highland Dr Little Rock AR 72223-2002 |
| Practice Telephone | 5012258929 |
| Mailing Telephone | 5012258929 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | MIKE COLE (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Telephone | 9419553150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 Office Park Dr, Bryant, AR 720227520 | 5019433310 |
| Street Address |
5400 HIGHLAND DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417989112 | Scott Alan Schoen | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2006-07-06 |
| 1679900138 | Arkansas Maxillofacial Surgery Center | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2013-09-30 |
| 1306176896 | Arkansas Maxillofacial Surgery Center | Clinic/Center | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003052234 | Robert E. Anderson, Dds, Pa | Dentist | 1 Saint Vincent Cir Ste 240, Little Rock, AR 72205-5407 | 2008-12-17 |
| 1063519676 | Hugh Franklin Burnett IIi | Dentist | 10310 W Markham, Suite 300, Little Rock, AR 72205 | 2006-09-19 |
| 1104935782 | Charles Ed Knight | Dentist | 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 | 2006-08-29 |
| 1407869399 | Ernest Stanley Woodard | Dentist | 11300 Cantrell Rd Ste 303, Little Rock, AR 72212-1844 | 2006-08-14 |
| 1417989112 | Scott Alan Schoen | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2006-07-06 |
| 1124074695 | Anthony L. Tortorich | Dentist | 4220 N Rodney Parham Rd, Suite 103, Little Rock, AR 72212-2453 | 2006-05-26 |
| 1760843247 | University of Arkansas for Medical Sciences | Dentist | 4301 W Markham St # 624, Little Rock, AR 72205 | 2016-03-11 |
| 1679900138 | Arkansas Maxillofacial Surgery Center | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2013-09-30 |
| 1508114067 | Ar Dental & Tmj - Little Rock, LLC | Dentist | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2012-08-15 |
| 1174816706 | C. Ed Knight, D.d.s., P.a. | Dentist | 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 | 2011-05-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.