| S Todd Phelan, Dds, Pa | |
|
2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758 | |
| (479) 636-3400 | |
| (479) 636-3407 |
| Full Name | S Todd Phelan, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2102 W Pleasant Grove Rd, Rogers, Arkansas |
| Authorized Official Name and Position | Todd Phelan (PRESIDENT) |
| Authorized Official Contact | 4796363400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Todd Phelan, Dds, Pa 2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758 Ph: (479) 636-3400 | S Todd Phelan, Dds, Pa 2102 W Pleasant Grove Rd Suite 1 Rogers AR 72758 Ph: (479) 636-3400 |
| NPI Number | 1508054214 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508054214 | NPI | - | NPPES |
| 167741631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3489 (Arkansas) | Primary |
Smile Shoppe Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5518 Walsh Ln, Rogers, AR 72758 Phone: 479-631-6377 Fax: 479-273-5967 | |
Soh Of Arkansas Pllc Samson Liu Mbr Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 S 54th St, Rogers, AR 72758 Phone: 479-464-0900 | |
Atlas Dental Partners Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 W Financial Pkwy, Rogers, AR 72758 Phone: 501-940-8147 | |
Monica Hamilton Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5417 W Pinnacle Pointe Dr Ste 200, Rogers, AR 72758 Phone: 479-254-0200 | |
Shawn M. Lee Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 N 20th Pl, Rogers, AR 72756 Phone: 479-636-8000 | |
Brent C Caple Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5204 W Village Pkwy Ste 14, Rogers, AR 72758 Phone: 479-273-6030 | |
White & Blansett Periodontics & Dental Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N 34th St, Rogers, AR 72756 Phone: 479-631-6074 Fax: 479-936-8660 |