Organization
ROBERT R. CARLISLE, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R. CARLISLE (OWNER)
(501) 776-0564
Entity
Organization
Contact information
Practice address
818 W SOUTH ST, BENTON, AR 72015-4162
(501) 776-0564
Mailing address
818 W SOUTH ST, BENTON, AR 72015-4162
(501) 776-0564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR2501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58939
BLUE CROSS BLUE SHIELD
AR
01
—
675447
UNITED CONCORDIA
AR
Enumeration date
06/04/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us