Heathman Family Dental Inc

LBN: Heathman Family Dental Inc
Heathman Family Dental Inc is an health care organization with primary practice located at 12501 Cantrell Rd , Little Rock AR 72223-1639. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Heathman Family Dental Inc can be contacted via phone (501) 223-3838, or through Pam, Tank via phone (501) 223-3838.

Contact Information

Primary practice address
12501 Cantrell Rd Little Rock AR 72223-1639
Fax: (501) 223-2554
Website:
Authorized official contact:
Name: Pam, Tank

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1700094786
LBN Legal business name Heathman Family Dental Inc
DBA Doing business as
Authorized official Pam, Tank
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Aug 19th, 2020 - about 6 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 1700094786 NPPES
Arkansas Other 58928 BLUECROSSBLUESHIELD INDIV
Arkansas MEDICAID 102068608 BLUECROSSBLUESHIELD INDIV
Arkansas Other 2158 BLUECROSSBLUESHIELD INDIV
Arkansas Other 5F438 BLUECROSSBLUESHIELD INDIV
Arkansas Other 617338 BLUECROSSBLUESHIELD INDIV

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