is a Orthodontics and Dentofacial Clinic in Fayetteville, Arkansas. It is located at 3533 N Shiloh Dr Ste 3, Fayetteville, AR and its contact number is 479-442-3411. The authorized person for is Dr. Bill Pickard
who is Owner,orthodontist of the clinic and their contact number is 479-442-3411. The primary license number for is 2035 (Orthodontics and Dentofacial Orthopedics) in Arkansas. Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
3533 N Shiloh Dr Ste 3, Fayetteville, Arkansas, 72703-5317
Phone:
479-442-3411
Fax:
479-442-3901
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Bill Pickard
Position:
Owner,orthodontist
Contact Number:
479-442-3411
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1922166610
NPI Enumeration Date:
05 Dec, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
2035
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
814087
Other
Arkansas
United Concordia
5F642
Other
Arkansas
Arkansas Bcbs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3533 N Shiloh Dr Ste 3, Fayetteville, Arkansas
Zip:
72703-5317
Phone Number:
479-442-3411
Fax Number:
479-442-3901
Patients can reach at 3533 N Shiloh Dr Ste 3, Fayetteville, Arkansas or can call to book an appointment on 479-442-3411. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.