DR. MITCHELL LYNN COLLINS (NPI# 1407825656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407825656 |
Entity Type | Individual |
Full Name | DR. MITCHELL LYNN COLLINS |
Credential | D.D.S., M.D. |
Practice Address |
525 Western Ave Suite 204 Conway AR 72034-4967 |
Practice Telephone | 5013368888 |
Practice Fax Number | 5013368887 |
Mailing Telephone | 5013368888 |
Mailing Fax Number | 5013368887 |
Enumeration Date | 2006-03-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3079 | AR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174666291 | Mitchell Collins | Counselor | 3636 N 1st St, Suite 162, Fresno, CA 93726-6800 | 2007-02-15 |
Street Address |
525 WESTERN AVE SUITE 204 |
City | CONWAY |
State | AR |
Zip Code | 72034-4967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700888732 | Homer Luther Fleisher | Surgery | 525 Western Ave, Suite 203, Conway, AR 72034-4967 | 2005-08-10 |
1245727486 | Bethany Roberts | Nurse Anesthetist, Certified Registered | 525 Western Ave, Conway, AR 72034 | 2018-04-13 |
1538615927 | Conway Regional Medical Center, Inc. | Clinic/Center | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-26 |
1639624372 | Conway Regional Medical Center,inc | Internal Medicine | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-23 |
1578951372 | Tammy Williams | Nurse Practitioner | 525 Western Ave, Suite 304, Conway, AR 72034-4967 | 2014-12-31 |
1386064657 | Manuel Anthony Warrior Jr. | Registered Nurse | 525 Western Ave, Suite 201, Conway, AR 72034-4967 | 2014-04-24 |
1811333206 | Anthony Tyler Manning | Surgery | 525 Western Ave, Ste 203, Conway, AR 72034-4980 | 2013-05-13 |
1306157656 | Conway Regional Medical Center,inc | Clinic/Center | 525 Western Ave, Suite 301, Conway, AR 72034-4967 | 2010-07-01 |
1588975825 | Conway Regional Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-07-01 |
1528386547 | Ella Cathrine Whaley | Internal Medicine | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
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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 |
---|---|---|---|---|
1962939439 | Arkansas Oral Surgery | Dentist | 2425 Prince St Ste 2, Conway, AR 72034-3701 | 2017-05-16 |
1699094714 | John M Johnson | Dentist | 707 Parkway St Ste 103, Conway, AR 72034-5363 | 2010-05-28 |
1346203395 | Donny Lynn Quick | Dentist | 2425 Prince St, Ste 2, Conway, AR 72034-3746 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952768392 | Thomas A. Sarna Dds,pllc | Dentist | 1400 Se Walton Blvd Ste 10, Bentonville, AR 72712-3202 | 2016-01-15 |
1689031023 | Thomas A. Sarna Dds,pllc | Dentist | 3533 North Shiloh Drive Suite 3, Fayetteville, AR 72703 | 2016-01-15 |
1548635048 | Ozark Oral Surgery Group, Pllc | Dentist | 591 S Horsebarn Rd Ste 100, Rogers, AR 72758-8710 | 2015-12-09 |
1801267430 | Bethel Burris Oliver Pllc | Dentist | 4224 W Sunset Ave, Springdale, AR 72762-4806 | 2015-10-08 |
1922498062 | Bethel Burris Oliver Pllc | Dentist | 3333 S Pinnacle Hills Pkwy, Rogers, AR 72758-9100 | 2015-01-28 |
1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
1366883886 | Bethel Burris Oliver Pllc | Dentist | 3710 E Main St Ste J, Blytheville, AR 72315-6882 | 2013-07-12 |
1801237326 | Bethel Burris Oliver Pllc | Dentist | 4941 N Washington St, Forrest City, AR 72335-7723 | 2013-07-12 |
1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
1790063923 | Bethel Burris Oliver Pllc | Dentist | 2606 Browns Lane, Jonesboro, AR 72401 | 2011-07-21 |
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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.