<Unavail>
LBN: River Valley Dental Group Pllc
<Unavail> is an health care organization with primary practice located at 8309 Phoenix Avenue , Fort Smith AR 72903. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
River Valley Dental Group Pllc can be contacted via phone (479) 646-0706, or through Liggett, Charles G via phone (479) 646-0706.
Contact Information
Primary practice address
8309 Phoenix Avenue
Fort Smith AR 72903
Phone: (479) 646-0706
Fax: (479) 646-0502
Website:
Authorized official contact:
Name: Liggett, Charles G Doctor of Dental Surgery (DDS)
Phone: (479) 646-0706
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Arkansas |
Profile Details
| NPI number | 1376808394 |
|---|---|
| LBN Legal business name | River Valley Dental Group Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Liggett, Charles G Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2012 |
| Last updated | Mar 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376808394 | NPPES |
| Arkansas | MEDICAID | 159196608 | |
| Arkansas | MEDICAID | 152884608 | |
| Arkansas | MEDICAID | 20032200A |
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