| Oral & Facial Surgery Center Pa | |
|
3996 N Frontage Rd Fayetteville AR 72703-5122 | |
| (479) 582-3002 | |
| (479) 582-2840 |
| Full Name | Oral & Facial Surgery Center Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3996 N Frontage Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Scotty L Bolding (OWNER) |
| Authorized Official Contact | 4799574611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Center Pa Po Box 4185 Fayetteville AR 72702-4185 Ph: (479) 717-1171 | Oral & Facial Surgery Center Pa 3996 N Frontage Rd Fayetteville AR 72703-5122 Ph: (479) 582-3002 |
| NPI Number | 1891744462 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891744462 | NPI | - | NPPES |
| 127319680 | Medicaid | AR | |
| 230273680 | Medicaid | AR | |
| 239128680 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
Daniel J Fish Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr Ste 8, Fayetteville, AR 72703 Phone: 479-409-5097 | |
Darrin Storms D.d.s., C.a.g.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4102 N Mall Ave Ste 101, Fayetteville, AR 72703 Phone: 479-521-8887 Fax: 479-521-8889 | |
Northwest Arkansas Periodontal Associates, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 N Green Acres Rd, Fayetteville, AR 72703 Phone: 479-521-6400 Fax: 479-521-0164 | |
Arkansas Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3782 N Front St, Suite 1, Fayetteville, AR 72703 Phone: 479-443-1705 Fax: 479-443-1586 | |
John L Garlinghouse D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-521-0004 Fax: 479-443-6542 | |
Wedington Court Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1188 N Salem Rd, Ste 10, Fayetteville, AR 72704 Phone: 479-527-0707 | |
Corey Inboden Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 N Church Ave, Fayetteville, AR 72701 Phone: 479-442-6512 |