# MAXILLOFACIAL SURGERY CENTER OF CENTRAL ARKANSAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649446162
- **Authorized official:** DR. MITCH L MITCHELL M.D., D.D.S. (OWNER)
- **Authorized official phone:** (501) 336-8888

## Contact information

- **Practice address:** 525 WESTERN AVE STE 204, CONWAY, AR 72034-4980
- **Practice address phone:** (501) 336-8888
- **Mailing address:** 525 WESTERN AVE STE 204, CONWAY, AR 72034-4980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3079 | AR | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | N8414 | AR | — |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008