| Maumelle Family Dentistry, Pllc | |
|
1701 Club Manor Dr Ste 4 Maumelle AR 72113-7401 | |
| (501) 851-1414 | |
| Not Available |
| Full Name | Maumelle Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1701 Club Manor Dr Ste 4, Maumelle, Arkansas |
| Authorized Official Name and Position | Richard H Lewis (OWNER) |
| Authorized Official Contact | 5018511414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maumelle Family Dentistry, Pllc 1701 Club Manor Dr Ste 4 Maumelle AR 72113-7401 Ph: (501) 851-1414 | Maumelle Family Dentistry, Pllc 1701 Club Manor Dr Ste 4 Maumelle AR 72113-7401 Ph: (501) 851-1414 |
| NPI Number | 1154840593 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 09/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154840593 | NPI | - | NPPES |
| 104718608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2244 (Arkansas) | Primary |
Austin Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Club Manor, Suite A, Maumelle, AR 72113 Phone: 501-851-3262 Fax: 501-851-3766 | |
Keith W. Smith, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Millwood Cir, Suite 107, Maumelle, AR 72113 Phone: 501-851-7645 Fax: 501-851-4281 | |
Dw Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Club Manor Dr Ste 4, Maumelle, AR 72113 Phone: 501-851-1414 | |
Maumelle Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Club Manor Dr Ste 4, Maumelle, AR 72113 Phone: 501-851-1414 Fax: 501-851-6036 |