Organization
LAKEFRONT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART SHERWOOD (DENTIST OWNER)
(501) 215-4913
Entity
Organization
Contact information
Practice address
95 BEAVERFORK RD, CONWAY, AR 72032-9517
(501) 327-6529
(501) 327-8695
Mailing address
5665 TIVOLI DR, CONWAY, AR 72034-8241
(501) 650-3717
(501) 650-3717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621710579
TAX ID
AR
Enumeration date
09/20/2006
Last updated
03/11/2025
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