Organization
SMILE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WARREN CENTER D.M.D (PRESIDENT)
(479) 751-8780
Entity
Organization
Contact information
Practice address
920 W EMMA AVE, SPRINGDALE, AR 72764-4472
(479) 751-8780
(479) 751-0465
Mailing address
920 W EMMA AVE, SPRINGDALE, AR 72764-4472
(479) 751-8780
(479) 751-0465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799894
UNITED CONCORDIA
—
Enumeration date
10/11/2006
Last updated
08/22/2020
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