Organization
SHERIDAN DENTAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLTON T LEDING DDS (PRESIDENT/CEO)
(870) 942-2822
Entity
Organization
Contact information
Practice address
1310 S ROCK ST STE 1, SHERIDAN, AR 72150-7223
(870) 942-2822
(870) 615-2115
Mailing address
1310 S ROCK ST STE 1, SHERIDAN, AR 72150-7223
(870) 942-2822
(870) 615-2115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124434709
INDIVIDUAL NPI DR. BRANDON MANN
AR
05
—
1740521244
—
AR
01
—
1821149337
INDIVIDUAL NPI FOR CHAD MATONE
AR
01
—
1841728235
INDIVIDUAL NPI FOR DR. CARLTON LEDING
AR
Enumeration date
03/07/2013
Last updated
09/18/2024
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