Organization
ROY E DENTON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIDA BYRD (BILLIING MANAGER)
(901) 737-3071
Entity
Organization
Contact information
Practice address
2210 ROBINSON AVE, CONWAY, AR 72034-4943
(501) 932-3500
(501) 932-3520
Mailing address
1138 N GERMANTOWN PKWY # 101-377, CORDOVA, TN 38016-5872
(901) 737-3071
(901) 328-1888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C7072
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116106001
—
AR
Enumeration date
04/04/2007
Last updated
02/21/2018
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