| Conway Dental Center Pllc | |
|
1600 E. Oak Street Suite B Conway AR 72032 | |
| (501) 358-4489 | |
| Not Available |
| Full Name | Conway Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 E. Oak Street Suite B, Conway, Arkansas |
| Authorized Official Name and Position | Chad Matone (OWNER/DENTIST) |
| Authorized Official Contact | 5012051084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Dental Center Pllc Po Box 241785 Little Rock AR 72223-0014 Ph: (501) 205-1084 | Conway Dental Center Pllc 1600 E. Oak Street Suite B Conway AR 72032 Ph: (501) 358-4489 |
| NPI Number | 1275035602 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 02/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275035602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3574 (Arkansas) | Primary |
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Thomas Kennedy, Dds Of Arkansas Ii, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Dave Ward Drive, Ste 101, Conway, AR 72034 Phone: 501-238-9801 | |
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Richard L. Wiedower, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Salem Rd, Conway, AR 72034 Phone: 501-327-9988 Fax: 501-327-9991 | |
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