My Village Pediatric Dentistry is a Dental Clinic in Bentonville, Arkansas. It is located at 1909 E Central Ave, Bentonville, AR and its contact number is 479-273-9302. The authorized person for My Village Pediatric Dentistry is Dr. William Thomas Mahon
who is Manager And Sole Member of the clinic and their contact number is 479-619-9052. The primary license number for My Village Pediatric Dentistry is 2401 (Dentist) in Arkansas. My Village Pediatric Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
My Village Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
My Village Pediatric Dentistry
Specialization:
Dentistry
Clinic Address:
1909 E Central Ave, Bentonville, Arkansas, 72712-5601
Phone:
479-273-9302
Fax:
479-268-4630
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. William Thomas Mahon
Position:
Manager And Sole Member
Contact Number:
479-619-9052
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 My Village Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1992078125
NPI Enumeration Date:
19 Feb, 2012
NPI Last Update On:
19 Feb, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for My Village Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
2401
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
190167631
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:
My Village Pediatric Dentistry 1104 Poplar Pl, Rogers, Arkansas
Zip:
72756-4249
Phone Number:
479-619-9052
Fax Number:
479-636-5154
Patients can reach My Village Pediatric Dentistry at 1909 E Central Ave, Bentonville, Arkansas or can call to book an appointment on 479-273-9302. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.