Organization
LYON COLLEGE
Active
Other names
Lyon College School of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HEARD (INSURANCE & BILLING COORDINATOR)
(501) 564-5834
Entity
Organization
Contact information
Practice address
5 ALLIED DRIVE, LITTLE ROCK, AR 72202
(501) 920-9669
Mailing address
5 ALLIED DR, LITTLE ROCK, AR 72202-2013
(501) 512-0230
(501) 564-5800
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/15/2025
Last updated
04/13/2026
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