Organization
BILL PICKARD, D.D.S., M.S., P.A.
Active
Other names
Arkansas Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL PICKARD D.D.S., M.S., P.A. (ORTHODONTIST)
(479) 271-9944
Entity
Organization
Contact information
Practice address
1400 SE WALTON BLVD STE 42, BENTONVILLE, AR 72712-3202
(479) 271-9944
(479) 271-9945
Mailing address
1400 SE WALTON BLVD STE 42, BENTONVILLE, AR 72712-3202
(479) 271-9944
(479) 271-9945
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2035
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F642
BCBS
AR
01
—
814087
UNITED CONCORDIA
AR
Enumeration date
12/21/2006
Last updated
08/22/2020
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