Organization
ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
5400 HIGHLAND DR, LITTLE ROCK, AR 72223-2002
(501) 225-8929
Mailing address
5400 HIGHLAND DR, LITTLE ROCK, AR 72223-2002
(501) 225-8929
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
02/24/2023
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