| Dr Clint Dawson Koen, DDS | |
|
2700 Allyson Ln, Conway, AR 72034-6281 | |
| (501) 730-0375 | |
| (501) 730-0335 |
| Full Name | Dr Clint Dawson Koen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2700 Allyson Ln, Conway, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629143789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3587 (Arkansas) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 3587 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clint Dawson Koen, DDS Po Box 11020, Conway, AR 72034-0018 Ph: (501) 730-0375 | Dr Clint Dawson Koen, DDS 2700 Allyson Ln, Conway, AR 72034-6281 Ph: (501) 730-0375 |
Alyssa Nicole Hadley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 405 Hogan Ln Ste 1, Conway, AR 72034 Phone: 501-336-0300 | |
Dr. Gary Jones, Dentist Medicare: Medicare Enrolled Practice Location: 810 Locust Ave, Conway, AR 72034 Phone: 501-932-0559 Fax: 501-205-1983 | |
Dr. Alaa Mohammed Shahare, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1125 S Amity Rd, Conway, AR 72032 Phone: 501-764-4465 | |
Dr. Jon C Vammen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1219 Front Street, Conway, AR 72032 Phone: 501-329-3312 Fax: 501-329-0576 | |
David Barry Riggs, Dentist Medicare: Not Enrolled in Medicare Practice Location: 800 Locust Ave, Conway, AR 72034 Phone: 501-697-1944 | |
Dr. John Gary Tumlison, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 810 Locust St, Conway, AR 72034 Phone: 501-327-4589 Fax: 501-327-2871 | |
Varsha Patel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 Harkrider St, Conway, AR 72032 Phone: 870-329-9806 |