# ORAL SURGERY OF CENTRAL ARKANSAS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Richard Elimon,D.M.D., Richard Elimon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245829027
- **Authorized official:** JENNIFER PATTERSON (OFFICE MANAGER)
- **Authorized official phone:** (013) 275-2555

## Contact information

- **Practice address:** 4701 FAIRWAY AVE STE D, NORTH LITTLE ROCK, AR 72116-8069
- **Practice address phone:** (501) 791-7600
- **Practice address fax:** (501) 791-2824
- **Mailing address:** 4701 FAIRWAY AVE STE D, NORTH LITTLE ROCK, AR 72116-8069
- **Mailing address phone:** (501) 327-5255
- **Mailing address fax:** (501) 791-2824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/18/2021