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Organization
ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC
Active
Organization
ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
5400 HIGHLAND DR, LITTLE ROCK, AR 72223-2002
(501) 225-8929
Mailing address
5400 HIGHLAND DR, LITTLE ROCK, AR 72223-2002
(501) 225-8929
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
02/24/2023
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