Organization
KITCHENS' PEDIATRIC DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLOVIS ANDY KITCHENS (PRESIDENT)
(501) 223-0822
Entity
Organization
Contact information
Practice address
10310 W MARKHAM ST, SUITE 202, LITTLE ROCK, AR 72205-2175
(501) 223-0822
(501) 221-9420
Mailing address
10310 W MARKHAM ST, SUITE 202, LITTLE ROCK, AR 72205-2175
(501) 223-0822
(501) 221-9420
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3186
AR
1223P0221X
Pediatric Dentistry
3512
AR
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us