| Conway Regional Interfaith Dental Clinic | |
|
830 N Creek Dr Conway AR 72032-4711 | |
| (501) 932-0559 | |
| (501) 205-1983 |
| Full Name | Conway Regional Interfaith Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 830 N Creek Dr, Conway, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Regional Interfaith Dental Clinic Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Conway Regional Interfaith Dental Clinic 830 N Creek Dr Conway AR 72032-4711 Ph: (501) 932-0559 |
| NPI Number | 1043864093 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20191004000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043864093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Gary L Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114447216 PECOS PAC ID: 8123359023 Enrollment ID: I20191008000273 |
Kidz Choice Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 Prince St Ste 105, Conway, AR 72034 Phone: 501-327-2030 Fax: 501-327-0242 | |
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 | |
Lenderman And Meek Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Donaghey Ave Ste 1, Conway, AR 72034 Phone: 501-327-3800 | |
East Oak Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E Oak St, Ste B, Conway, AR 72032 Phone: 501-358-4101 Fax: 501-504-2545 | |
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 | |
Luke Adlong Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Prince St, Conway, AR 72034 Phone: 501-733-6525 |