# MAXILLOFACIAL DIAGNOSTICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maxillofacial Diagnostics, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215229786
- **Authorized official:** DR. SUZANNE K COCO DDS,MDS, PA (PROSTHODONTISTS)
- **Authorized official phone:** (501) 319-7520

## Contact information

- **Practice address:** 2300 ANDOVER CT, SUITE 400, LITTLE ROCK, AR 72227-3987
- **Practice address phone:** (501) 319-7520
- **Practice address fax:** (501) 319-7521
- **Mailing address:** 2300 ANDOVER CT, SUITE 400, LITTLE ROCK, AR 72227-3987
- **Mailing address phone:** (501) 319-7520
- **Mailing address fax:** (501) 319-7521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 3533 | AR | Yes |
| 1223P0700X | Prosthodontics | 3543 | AR | — |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 05/03/2011