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.
Organization
MCQUEEN DENTAL PLLC
Active
Organization
MCQUEEN DENTAL PLLC
Active
Other names
Bold Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN MICHAEL MCQUEEN DDS (OWNER)
(870) 926-0471
Entity
Organization
Contact information
Practice address
640 N GARLAND AVE, FAYETTEVILLE, AR 72701-3116
(479) 521-2653
Mailing address
3321 INDIAN SPRINGS AVE, SPRINGDALE, AR 72762-8852
(870) 926-0471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4178
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518496215
INDIVIDUAL NPI
AR
Enumeration date
05/10/2018
Last updated
05/10/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up