Organization
OZARK DENTAL CARE
Active
Other names
Dr Scott Stephens Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT J STEPHENS D.D.S. (OWNER DENTIST)
(479) 442-3915
Entity
Organization
Contact information
Practice address
2538 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4553
(479) 442-3915
(479) 442-4449
Mailing address
2538 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4553
(479) 442-3915
(479) 442-4449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3374
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1701032
UNITED CONCORDIA PROVIDER
AR
01
—
3374
AR DENTAL LISCENCE
AR
01
—
5Y318
BCBS PROVIDER ID
AR
Enumeration date
01/09/2007
Last updated
08/22/2020
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