Amd Family Dentistry

LBN: Amd Family Dentistry
Amd Family Dentistry is an health care organization with primary practice located at 306 N 6Th St , West Memphis AR 72301-3221. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Amd Family Dentistry can be contacted via phone (870) 732-2107, or through Davis, Angela via phone (870) 732-2107.

Contact Information

Primary practice address
306 N 6Th St West Memphis AR 72301-3221
Phone: (870) 732-2107
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Angela Doctor of Dental Surgery (DDS)
Phone: (870) 732-2107

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1346817921
LBN Legal business name Amd Family Dentistry
DBA Doing business as
Authorized official Davis, Angela Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2021
Last updated Jun 10th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346817921 NPPES
Arkansas MEDICAID 160686608

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