# PARKLANE FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael V Liggett DDS PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992810196
- **Authorized official:** MICHAEL V LIGGETT DDS (OWNER)
- **Authorized official phone:** (479) 782-0080

## Contact information

- **Practice address:** 3200 ROGERS AVE, STE 111, FORT SMITH, AR 72903
- **Practice address phone:** (479) 782-0080
- **Practice address fax:** (479) 783-8580
- **Mailing address:** 3200 ROGERS AVE, STE 111, FORT SMITH, AR 72903
- **Mailing address phone:** (479) 782-0080
- **Mailing address fax:** (479) 783-8580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2055 | AR | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1464220 | UNITED CONCORDIA | — |
| 01 | — | 5C819 | BCBS | AR |