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Organization

ARKANSAS CHILDREN'S MEDICAL GROUP, PLLC

Active
Parent organization
ARKANSAS CHILDREN'S MEDICAL GROUP, PLLC
Other names
Arkansas Children's Medical Group - Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARKANSAS CHILDREN'S MEDICAL GROUP, PLLC
Authorized official
ROBERT S. WILLIAMS MD (PRESIDENT)
(501) 364-2090
Entity
Organization

Contact information

Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223P0221X
Pediatric Dentistry
Primary
1223P0300X
Periodontics
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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