| The Dental Office | |
|
6815 Isaacs Orchard Rd Ste A Springdale AR 72762-6285 | |
| (479) 750-0333 | |
| (479) 306-6971 |
| Full Name | The Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 6815 Isaacs Orchard Rd Ste A, Springdale, Arkansas |
| Authorized Official Name and Position | Dwight Debusk Duckworth (PRESIDENT) |
| Authorized Official Contact | 4797500333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Office 6815 Isaacs Orchard Rd Ste A Springdale AR 72762-6285 Ph: (479) 750-0333 | The Dental Office 6815 Isaacs Orchard Rd Ste A Springdale AR 72762-6285 Ph: (479) 750-0333 |
| NPI Number | 1780771907 |
|---|---|
| Provider Enumeration Date | 10/08/2006 |
| Last Update Date | 09/04/2020 |
| Medicare PECOS PAC ID | 3577985316 |
|---|---|
| Medicare Enrollment ID | O20200918001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780771907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2903 (Arkansas) | Primary |
| Provider Name | Dwight D Duckworth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982791851 PECOS PAC ID: 3870782253 Enrollment ID: I20110117000207 |
| Provider Name | Jeffery A Casey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316932353 PECOS PAC ID: 1153743067 Enrollment ID: I20201013000579 |
Logan B Hall, Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Meadow Ave, Springdale, AR 72764 Phone: 479-751-4609 Fax: 479-751-6519 | |
Johnny L Bakker Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 W Maple Ave, Springdale, AR 72764 Phone: 479-751-8820 Fax: 479-751-3117 | |
Gregory G. Goggans, D.m.d. Arkansas, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2890 W Huntsville Ave, Springdale, AR 72762 Phone: 479-751-1103 | |
Har Ber Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6879 Isaacs Orchard Rd Ste B, Springdale, AR 72762 Phone: 479-306-4400 | |
Charles A. Hanby Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 W Huntsville Ave, Springdale, AR 72762 Phone: 479-756-8631 Fax: 479-751-7892 | |
Timothy C Rothrock, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 S Pleasant St, Springdale, AR 72764 Phone: 479-751-5071 Fax: 479-751-7990 | |
Randal S. Kimbrough Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2702 American St, Springdale, AR 72764 Phone: 479-751-9899 |