Organization
BILL PICKARD, DDS, MS, PA
Active
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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