VAN MICHAEL MCQUEEN JR.


Address: 640 N Garland Ave # 104, Fayetteville, AR 72701
Phone: 4795212653

VAN MICHAEL MCQUEEN JR. (NPI# 1518496215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518496215
Entity Type Individual
Full Name VAN MICHAEL MCQUEEN JR.
Credential DDS
Practice Address 640 N Garland Ave # 104
Fayetteville
AR 72701
Mailing Address 640 N Garland Ave # 104
Fayetteville
AR 72701-3116
Practice Telephone 4795212653
Mailing Telephone 4795212653
Enumeration Date 2017-06-06
Last Update Date 2018-07-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4178 AR Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5505 Euper Ln, Fort Smith, AR 729033233 4794786060

Office Location

Street Address 640 N GARLAND AVE # 104
City FAYETTEVILLE
State AR
Zip Code 72701

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1952892390 Ambur Dryer Specialist/Technologist 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 2018-05-22
1851814230 Blakely Low Psychologist 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 2017-07-18
1407204217 Kenna Megan Hodeaux Specialist/Technologist 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 2016-06-02
1740634435 Crystal Susan Rofkahr Psychologist 26 E Meadow St Ste 3, Fayetteville, AR 72701 2016-04-19
1942663521 Satoshi IIda Specialist/Technologist 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 2016-04-01
1992163901 Dr Don M Chaney Dds Pa Dentist 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 2016-02-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1972151439 Ikenna K Okons Dentist 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 2019-08-28
1114488079 Bianca Kristina Adams Dentist 207 Forest Creek Dr, Fayetteville, NC 28303-5496 2019-03-25
1194226506 Michael E. Carter, Dds, Pllc Dentist 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 2018-02-22
1760900153 Elali Alisha Marie Moukwa Dentist 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 2017-09-06
1548781107 Christopher Heard Dentist 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 2017-07-03
1881123305 Kenneth Boyd Lewis Jr. Dentist 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 2017-06-08
1710415229 Alan Kuo Dentist 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 2017-05-28
1508304866 Karan G Mirchandani Dentist 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 2017-02-07
1174991582 Tenecia Nychelle Hall Dentist 100 Brookcrest Ct, Fayetteville, GA 30215-8150 2015-09-02
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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

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.

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