# PRECIDENT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORAL & FACIAL SURGERY CENTER PA
- **Other names:** INTEGRATIVE DENTAL SPECIALISTS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588176630
- **Legal business name:** ORAL & FACIAL SURGERY CENTER PA
- **Authorized official:** DR. SCOTTY L BOLDING D.D.S. (OWNER)
- **Authorized official phone:** (479) 957-4611

## Contact information

- **Practice address:** 3333 S PINNACLE HILLS PKWY STE 140, ROGERS, AR 72758-8953
- **Practice address phone:** (479) 755-3000
- **Practice address fax:** (479) 616-1914
- **Mailing address:** PO BOX 8549, FAYETTEVILLE, AR 72703-0010
- **Mailing address phone:** (479) 755-3000
- **Mailing address fax:** (479) 616-1914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3025 | AR | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 10/30/2017
- **Last updated:** 10/11/2022