Organization
NORTHWEST ARKANSAS PEDIATRIC DENTAL CENTER
Active
Other names
Smile Shoppe Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D RHODES (PRESIDENT)
(479) 631-6377
Entity
Organization
Contact information
Practice address
5518 WALSH LN, ROGERS, AR 72758-8947
(479) 631-6377
(479) 273-5967
Mailing address
5518 WALSH LN, ROGERS, AR 72758-8947
(479) 631-6377
(479) 273-5967
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2924
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159561631
—
AR
Enumeration date
06/22/2006
Last updated
01/19/2016
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