Faith Dental Clinic

LBN: Faith Dental Clinic
Faith Dental Clinic is an health care organization with primary practice located at 8211 Geyer Springs Rd , Little Rock AR 72209-4952. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Faith Dental Clinic can be contacted via phone (501) 562-1665, or through Prado, Lilliam Margarita via phone (501) 562-1665.

Contact Information

Primary practice address
8211 Geyer Springs Rd Little Rock AR 72209-4952
Phone: (501) 562-1665
Fax: (501) 562-1667
Website:
Map and Directions
Authorized official contact:
Name: Prado, Lilliam Margarita Doctor of Dental Surgery (DDS)
Phone: (501) 562-1665

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Arkansas

Profile Details

NPI number 1124285689
LBN Legal business name Faith Dental Clinic
DBA Doing business as
Authorized official Prado, Lilliam Margarita Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 18 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 1124285689 NPPES
Arkansas MEDICAID 163107608
Arkansas Other B/S 5Y875

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