Interdisciplinary Dental Therapy, P.a. is a Dental Clinic in Little Rock, Arkansas. It is located at 9200 Chicot Rd, Little Rock, AR and its contact number is 501-562-3029. The authorized person for Interdisciplinary Dental Therapy, P.a. is Dr. Montgomery Dwight Heathman
who is President/ceo of the clinic and their contact number is 479-856-5588. The primary license number for Interdisciplinary Dental Therapy, P.a. is AR3333 (General Practice) in Arkansas.
Interdisciplinary Dental Therapy, P.a. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Interdisciplinary Dental Therapy, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Interdisciplinary Dental Therapy, P.a. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 9200 Chicot Rd, Little Rock,
Arkansas, 72209-6107 |
| Phone: | 501-562-3029 |
| Fax: | 501-568-1823 |
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. Montgomery Dwight Heathman |
| Position: | President/ceo |
| Contact Number: | 479-856-5588 |
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 Interdisciplinary Dental Therapy, P.a. clinic are as mentioned below.
| NPI Number: | 1992042386 |
| NPI Enumeration Date: | 06 Jan, 2013 |
| NPI Last Update On: | 06 Jan, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Interdisciplinary Dental Therapy, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | AR3333 | 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 |
| 161458608 | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Interdisciplinary Dental Therapy, P.a.
9200 Chicot Rd,
Little Rock, Arkansas |
| Zip: | 72209-6107 |
| Phone Number: | 501-562-3029 |
| Fax Number: | 501-568-1823 |
Patients can reach Interdisciplinary Dental Therapy, P.a. at
9200 Chicot Rd, Little Rock, Arkansas or can
call to book an appointment on 501-562-3029.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.