Individual
DR. MICHAEL LYNN QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2501 CRESTWOOD RD, SUITE 303, NORTH LITTLE ROCK, AR 72116-6864
(501) 758-1741
(501) 758-7677
Mailing address
2501 CRESTWOOD RD, SUITE 303, NORTH LITTLE ROCK, AR 72116-6864
(501) 758-1741
(501) 758-7677
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2457
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58571
ARKANSAS BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
10/31/2009
Last updated
10/31/2009
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