Individual
DR. SCOTT MICHAEL DINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205-6375
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117
(501) 975-7456
(501) 978-1822
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
R3892
AR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
R3892
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114684001
—
AR
01
—
11721000040
QUAL CHOICE
AR
01
—
51771
BLUE CROSS BLUE SHIELD
—
01
—
5526082
AETNA
—
01
—
P00186419
TRAVELERS RAILROAD
—
Enumeration date
05/01/2006
Last updated
05/06/2025
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