Organization
ORAL SURGERY OF CENTRAL ARKANSAS
Active
Other names
Richard Elimon,D.M.D., Richard Elimon
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PATTERSON (OFFICE MANAGER)
(013) 275-2555
Entity
Organization
Contact information
Practice address
4701 FAIRWAY AVE STE D, NORTH LITTLE ROCK, AR 72116-8069
(501) 791-7600
(501) 791-2824
Mailing address
4701 FAIRWAY AVE STE D, NORTH LITTLE ROCK, AR 72116-8069
(501) 327-5255
(501) 791-2824
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352679
—
AR
Enumeration date
01/15/2021
Last updated
01/18/2021
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