| Heritage Legacy Dental Care, Inc | |
|
7 Edenwood Ln N Little Rock AR 72116-5105 | |
| (501) 771-4500 | |
| (901) 763-3573 |
| Full Name | Heritage Legacy Dental Care, Inc |
|---|---|
| Speciality | Dentist |
| Location | 7 Edenwood Ln, N Little Rock, Arkansas |
| Authorized Official Name and Position | Wade Robertson (PRESIDENT) |
| Authorized Official Contact | 5017714500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Legacy Dental Care, Inc 7 Edenwood Ln N Little Rock AR 72116-5105 Ph: (501) 771-4500 | Heritage Legacy Dental Care, Inc 7 Edenwood Ln N Little Rock AR 72116-5105 Ph: (501) 771-4500 |
| NPI Number | 1659819738 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659819738 | NPI | - | NPPES |
| 217518608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3220 (Arkansas) | Primary |
North Hills Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 N Hills Blvd, N Little Rock, AR 72116 Phone: 501-835-4567 Fax: 501-834-9178 | |
Jfk Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5125 Jfk Blvd, N Little Rock, AR 72116 Phone: 501-791-2030 Fax: 501-791-2055 |