Organization
ARKANSAS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA JONES D.D.S. (PRESIDENT/DENTIST)
(501) 812-3109
Entity
Organization
Contact information
Practice address
5905 W 12TH ST, LITTLE ROCK, AR 72204-1608
(501) 812-3109
Mailing address
5905 W 12TH ST, LITTLE ROCK, AR 72204-1608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200887631
—
AR
Enumeration date
03/07/2014
Last updated
03/07/2014
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