Whitaker, Steven Bryan

Whitaker, Steven Bryan is an individual health care provider with primary practice located at 2926 W Huntsville Ave , Springdale AR 72762-7726. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Endodontics. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Whitaker, Steven Bryan can be contacted via phone (479) 717-1047.

Contact Information

Primary practice address
2926 W Huntsville Ave Springdale AR 72762-7726
Phone: (479) 717-1047
Fax: (866) 756-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2 Arkansas
Dental Providers / Endodontics 1223E0200X 18 Arkansas

Profile Details

NPI number 1386617751
LBN Legal business name Whitaker, Steven Bryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386617751 NPPES
Arkansas Other 3249 STATE LICENSE

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