Organization
DOUGLAS RINEHART, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RINEHART (OWNER/DENTIST)
(870) 219-9159
Entity
Organization
Contact information
Practice address
911 N WALTON BLVD, STE. B, BENTONVILLE, AR 72712-4551
(479) 464-7500
(479) 273-7741
Mailing address
911 N WALTON BLVD, STE. B, BENTONVILLE, AR 72712-4551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3879
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033472535
TYPE I NPI
—
01
—
3879
AR DENTAL LICENSE
AR
Enumeration date
09/09/2014
Last updated
03/11/2016
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