Organization
SUMMIT DENTAL, INC.
Active
Parent organization
SUMMIT DENTAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT DENTAL, INC.
Authorized official
PAM HALBROOK (ADMINISTRATOR)
(501) 227-0500
Entity
Organization
Contact information
Practice address
12120 COL GLENN RD, SUITE 6600, LITTLE ROCK, AR 72210-2824
(501) 227-0500
(501) 227-0503
Mailing address
12120 COL GLENN RD, SUITE 6600, LITTLE ROCK, AR 72210-2824
(501) 227-0500
(501) 227-0503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3917
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780939678
LICENSE 3917
AR
Enumeration date
11/05/2013
Last updated
11/05/2013
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