Tacy Marie Sundell, DDS in Little Rock, AR

Tacy Marie Sundell, DDS is a medicare enrolled "Dentist - Periodontics" provider in Little Rock, Arkansas. Her current practice location is 11300 Cantrell Rd Ste 303, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 228-5700.

Tacy Marie Sundell is licensed to practice in Arkansas (license number 3352) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689687584.

Contact Information

	Tacy Marie Sundell, DDS
	11300 Cantrell Rd Ste 303, Little Rock, AR 72212-1844
	(501) 228-5700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tacy Marie Sundell
Gender	Female
Speciality	Dentist - Periodontics
Location	11300 Cantrell Rd Ste 303, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689687584
Provider Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294911525
Enrollment ID: I20110520000512

Medical Identifiers

Medical identifiers for Tacy Marie Sundell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689687584	NPI	-	NPPES
1493112	Other	AR	UNITED CONCORDIA
5X406	Other	AR	BLUE CROSS PROVIDER NUMBE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	3352 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tacy Marie Sundell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tacy Marie Sundell, DDS 11300 Cantrell Rd Ste 303, Little Rock, AR 72212-1844 Ph: (501) 228-5700	Tacy Marie Sundell, DDS 11300 Cantrell Rd Ste 303, Little Rock, AR 72212-1844 Ph: (501) 228-5700

Reviews and Comments

Dentist in Little Rock, AR

Bryan Keith Angel, DDS, PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 S Rodney Parham Rd, Suite 3, Little Rock, AR 72205 Phone: 501-224-4799 Fax: 501-224-9278
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Dr. Henry H Chu, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 540, Little Rock, AR 72202 Phone: 501-364-1816 Fax: 501-364-6800
Dr. Samuel M Strong, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1415 Breckenridge Dr, Ste D, Little Rock, AR 72227 Phone: 501-224-2333 Fax: 501-224-5230
Kevin Nguyen Le, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4220 N Rodney Parham Rd, Little Rock, AR 72212 Phone: 501-228-7200
Courtney J Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Way, Slot107, Little Rock, AR 72202 Phone: 501-364-1100

Tacy Marie Sundell, DDS - Medicare Dentist in Little Rock, AR