Tracy Schroepfer, DMD | |
2101 Congo Rd Ste C, Benton, AR 72015-2703 | |
(501) 778-1400 | |
Not Available |
Full Name | Tracy Schroepfer |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 2101 Congo Rd Ste C, Benton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154973303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4375 (Arkansas) | Primary |
122300000X | Dentist | 4375 (Arkansas) | Secondary |
Entity Name | Congo Dental, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295423192 PECOS PAC ID: 4385000892 Enrollment ID: O20230525000283 |
Mailing Address | Practice Location Address |
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Tracy Schroepfer, DMD Po Box 1848, Mena, AR 71953-1841 Ph: () - | Tracy Schroepfer, DMD 2101 Congo Rd Ste C, Benton, AR 72015-2703 Ph: (501) 778-1400 |
Ann Pevahouse, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1202 Highway 35 N, Benton, AR 72019 Phone: 501-776-0620 | |
Dr. Preston Cooper, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1215 Military Rd, Suite 5, Benton, AR 72015 Phone: 501-315-5574 Fax: 501-315-5579 | |
Dr. Celita Simmons, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 325 Short St, Benton, AR 72015 Phone: 501-778-8241 Fax: 501-776-3898 | |
Dr. Lendall Carroll Shell, DOS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2101 C Congo Rd, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 | |
Dr. Dylan Sean Ragan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1112 Military Rd, Benton, AR 72015 Phone: 501-778-7129 | |
Lori Lynn Weaver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1037 Kelley, Benton, AR 72019 Phone: 901-351-8307 |