Individual
DR. JOHN EDWARD SVENDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.M.D., M.S.D.
Contact information
Practice address
16101 LAGRANDE DR, SUITE 101, LITTLE ROCK, AR 72223-9140
(501) 821-6134
(501) 821-6127
Mailing address
16101 LAGRANDE DR, SUITE 101, LITTLE ROCK, AR 72223-9140
(501) 821-6134
(501) 821-6127
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2883
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58321
BCBS ID NUMBER
AR
01
—
846593
UNITED CONCORDIA ID NUMBE
AR
Enumeration date
01/23/2006
Last updated
07/08/2007
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