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Organization
SUMMIT DENTAL, INC.
Active
Organization
SUMMIT DENTAL, INC.
Active
Parent organization
SUMMIT DENTAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT DENTAL, INC.
Authorized official
PAM HALBROOK (ADMINISTRATOR)
(501) 227-0500
Entity
Organization
Contact information
Practice address
12120 COL GLENN RD, SUITE 6600, LITTLE ROCK, AR 72210-2824
(501) 227-0500
(501) 227-0503
Mailing address
12120 COL GLENN RD, SUITE 6600, LITTLE ROCK, AR 72210-2824
(501) 227-0500
(501) 227-0503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3917
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780939678
LICENSE 3917
AR
Enumeration date
11/05/2013
Last updated
11/05/2013
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