Tina H. Nichols, Dds, Pa

LBN: Arkansas Family Dental, Pa
Tina H. Nichols, Dds, Pa is an health care organization with primary practice located at 13600 David O. Dodd , Little Rock AR 72210. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Arkansas Family Dental, Pa can be contacted via phone (501) 312-7576, or through Nichols, Tina via phone (501) 312-7576.

Contact Information

Primary practice address
13600 David O. Dodd Little Rock AR 72210
Phone: (501) 312-7576
Fax: (501) 687-0669
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Tina Doctor of Dental Surgery (DDS)
Phone: (501) 312-7576

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3311 Arkansas
Dental Providers / General Practice 1223G0001X 3435 Arkansas

Profile Details

NPI number 1952431868
LBN Legal business name Arkansas Family Dental, Pa
DBA Doing business as Tina H. Nichols, Dds, Pa
Authorized official Nichols, Tina Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 25th, 2013 - about 12 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 1952431868 NPPES
Arkansas MEDICAID 181913631

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