Organization
SUMMIT DENTAL, INC
Active
Other names
Dental Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RENEE HALBROOK (ADMINISTRATOR)
(501) 623-8333
Entity
Organization
Contact information
Practice address
1421 CENTRAL AVENUE, HOT SPRINGS, AR 71901
(801) 623-8333
(501) 623-8331
Mailing address
1421 CENTRAL AVENUE, HOT SPRINGS, AR 71901
(501) 623-8333
(501) 623-8331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2967
AR
122300000X
Dentist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112366608
—
AR
Enumeration date
04/16/2010
Last updated
10/28/2013
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