Organization
ORAL SURGERY OF CENTRAL ARKANSAS
Active
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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