Organization
TOLAND DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOHNSON OFFICE MANAGER (OFFICE MANAGER)
(870) 238-0400
Entity
Organization
Contact information
Practice address
2100 KILLOUGH RD N, WYNNE, AR 72396-1009
(870) 238-0400
(870) 238-0417
Mailing address
2100 KILLOUGH RD N, WYNNE, AR 72396-1009
(870) 238-0400
(870) 238-0417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102049608
—
AR
01
—
58929
BLUE CROSS BLUE SHIELD INSURANCE
—
01
—
779622
UNITED CONCORDIA INSURANCE
—
Enumeration date
12/15/2009
Last updated
12/15/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us