Individual
DR. TARA PAPPAS SCALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3401 ATWOOD RD, SUITE D, LITTLE ROCK, AR 72206-6012
(501) 888-1197
(501) 888-8800
Mailing address
3401 ATWOOD RD, SUITE D, LITTLE ROCK, AR 72206-6012
(501) 888-1197
(501) 888-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3189
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159516631
—
AR
01
—
5T518
AR BLUE CROSS NUMBER
AR
01
—
603644
UNITED CONCORDIA
AR
Enumeration date
11/21/2006
Last updated
07/09/2007
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