DR. AGUSTIN LEPE FARIAS (NPI# 1437313053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437313053 |
| Entity Type | Individual |
| Full Name | DR. AGUSTIN LEPE FARIAS |
| Practice Address |
2200 Fort Roots Dr # 160 Va Hospital Dental Service North Little Rock AR 72114-1709 |
| Practice Telephone | 2106188546 |
| Mailing Telephone | 2106188546 |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
44399 | CA | Dental Providers |
| Street Address |
2200 FORT ROOTS DR # 160 VA HOSPITAL DENTAL SERVICE |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| 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 |
|---|---|---|---|---|
| 1003903287 | Richard Gregory Elimon | Dentist | 2504mecain, 202, North Little Rock, AR 72116 | 2006-10-06 |
| 1184680324 | Robert L Jolly Jr. | Dentist | 3001 Jfk Blvd, North Little Rock, AR 72116-9217 | 2006-04-25 |
| 1093849770 | William F. Alfonso | Dentist | 2501 Crestwood Rd, Ste. 302, North Little Rock, AR 72116-6864 | 2007-03-15 |
| 1447217369 | Robert D. Keene | Dentist | 3001 Jfk Blvd, North Little Rock, AR 72116-9217 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962939439 | Arkansas Oral Surgery | Dentist | 2425 Prince St Ste 2, Conway, AR 72034-3701 | 2017-05-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
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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.