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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.