Organization
CENTRAL ARKANSAS DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MEREDITH (CHIEF OPERATING OFFICER)
(501) 231-9928
Entity
Organization
Contact information
Practice address
123 N CENTER ST, LONOKE, AR 72086-2805
(501) 676-6770
Mailing address
204 COUNTRY CLUB RD, SHERWOOD, AR 72120-4627
(501) 835-2232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3565
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163285631
—
AR
Enumeration date
01/26/2007
Last updated
11/01/2013
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