Organization
BILL PICKARD, DDS, MS, PA
Active
Other names
Arkansas Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL PICKARD DDS, MS, PA (OWNER,ORTHODONTIST)
(479) 442-3411
Entity
Organization
Contact information
Practice address
3533 N SHILOH DR STE 3, FAYETTEVILLE, AR 72703-5317
(479) 442-3411
(479) 442-3901
Mailing address
3533 N SHILOH DR STE 3, FAYETTEVILLE, AR 72703-5317
(479) 442-3411
(479) 442-3901
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2035
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F642
ARKANSAS BCBS
AR
01
—
814087
UNITED CONCORDIA
AR
Enumeration date
12/05/2006
Last updated
08/22/2020
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