| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 607 Front St, Conway, Arkansas |
| Authorized Official Name and Position | David M Reese (PRESIDENT) |
| Authorized Official Contact | 5013272586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
607 Front St Conway AR 72032-5419 Ph: (501) 327-2586 | 607 Front St Conway AR 72032-5419 Ph: (501) 327-2586 |
| NPI Number | 1457405730 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457405730 | NPI | - | NPPES |
| 1385732 | Other | AR | UCCI GROUP PROVIDER ID |
| 5C402 | Other | AR | ARK BCBS GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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 | |
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 |