Organization
CALVIN B. SUFFRIDGE, DDS, PA
Active
Other names
Calvin B. Suffridge, DDS, MS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN BUFORD SUFFRIDGE DDS (ENDODONTIST)
(501) 907-6000
Entity
Organization
Contact information
Practice address
8 PARKSTONE CIR, SUITE B, NORTH LITTLE ROCK, AR 72116-7086
(501) 907-6000
(501) 907-5664
Mailing address
8 PARKSTONE CIR, SUITE B, NORTH LITTLE ROCK, AR 72116-7086
(501) 907-6000
(501) 907-5664
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3182
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1388393
UNITED CONCORDIA
AR
01
—
5X097
BCBS HEALTH ADVANTAGE
AR
Enumeration date
01/04/2007
Last updated
03/30/2011
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