Organization
CHASE C. DIEMER DDS PLLC
Active
Other names
Diemer Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE DIEMER (OWNER)
(501) 758-5006
Entity
Organization
Contact information
Practice address
2501 CRESTWOOD RD STE 201, NORTH LITTLE ROCK, AR 72116-7616
(501) 758-5006
Mailing address
2501 CRESTWOOD RD STE 201, NORTH LITTLE ROCK, AR 72116-7616
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710393517
NPI
AR
Enumeration date
09/09/2019
Last updated
09/09/2019
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