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Prairie Grove Dental Center Pllc

Dentist - General Practice

ALAN CLARK
NPI: 1508454612Prairie Grove, Arkansas, 72753(479) 244-2052

About Prairie Grove Dental Center Pllc

Prairie Grove Dental Center Pllc is a healthcare organization providing Dentist - General Practice services, with specialized expertise in General Practice, registered under National Provider Identifier (NPI) number 1508454612.

The authorized official for Prairie Grove Dental Center Pllc is ALAN CLARK. The organization is headquartered at 1121 E HERITAGE PKWY, Prairie Grove, Arkansas 72753. The main office can be reached at (479) 244-2052.

Prairie Grove Dental Center Pllc has been NPI-registered since 2021.

Locations & Contact

Primary Location

Address
1121 E HERITAGE PKWY
City
Prairie Grove
State
Arkansas
ZIP
72753-6013
Phone
(479) 244-2052
Fax
(479) 846-1940
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Authorized Official

Name
ALAN CLARK

Mailing Address

Address
1121 E HERITAGE PKWY
City
PRAIRIE GROVE
State
AR
ZIP
727536013

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dentist - General Practice
Classification
Dentist
Specialization
General Practice
Taxonomy Code
1223G0001X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Prairie Grove Dental Center Pllc's NPI number?
Prairie Grove Dental Center Pllc's National Provider Identifier (NPI) is 1508454612. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Prairie Grove Dental Center Pllc specialize in?
Prairie Grove Dental Center Pllc specializes in Dentist - General Practice.
Where is Prairie Grove Dental Center Pllc located?
Prairie Grove Dental Center Pllc practices at 1121 E HERITAGE PKWY, Prairie Grove, Arkansas 72753. You can reach them by phone at (479) 244-2052.
Does Prairie Grove Dental Center Pllc accept Medicare?
Based on available data, Prairie Grove Dental Center Pllc is not currently enrolled in the Medicare program.
Does Prairie Grove Dental Center Pllc offer telehealth or virtual visits?
Prairie Grove Dental Center Pllc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Prairie Grove Dental Center Pllc holds NPI 1508454612, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.