Organization
INTERDISCIPLINARY DENTAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTGOMERY DWIGHT HEATHMAN D.D.S. (PRESIDENT/CEO)
(479) 856-5588
Entity
Organization
Contact information
Practice address
9200 CHICOT RD, LITTLE ROCK, AR 72209-6107
(501) 562-3029
(501) 568-1823
Mailing address
9200 CHICOT RD, LITTLE ROCK, AR 72209-6107
(501) 562-3029
(501) 568-1823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR3333
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161458608
—
AR
Enumeration date
01/06/2013
Last updated
01/06/2013
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