North Little Rock Pediatric Dental Group is a Pediatric Dental Clinic in North Little Rock, Arkansas. It is located at 4605 Fairway Ave, North Little Rock, AR and its contact number is 501-771-2990. The authorized person for North Little Rock Pediatric Dental Group is Dr. Mark E Wilson
who is Co Owner of the clinic and their contact number is 501-771-2990. Other organizations associated with this clinic are Pdg Dental Group Pllc, G Friend Dds Ms & M Wilson Dds Ms Pa, The primary license number for North Little Rock Pediatric Dental Group is 2793 (Pediatric Dentistry) in Arkansas. North Little Rock Pediatric Dental Group Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
North Little Rock Pediatric Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
North Little Rock Pediatric Dental Group
Specialization:
Pediatric Dentistry
Clinic Address:
4605 Fairway Ave, North Little Rock, Arkansas, 72116
Phone:
501-771-2990
Fax:
501-758-0408
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. Mark E Wilson
Position:
Co Owner
Contact Number:
501-771-2990
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 North Little Rock Pediatric Dental Group clinic are as mentioned below.
NPI Number:
1508889478
NPI Enumeration Date:
25 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Pdg Dental Group Pllc
Pediatric Dentistry
1346962586
G Friend Dds Ms & M Wilson Dds Ms Pa
Pediatric Dentistry
1508889478
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for North Little Rock Pediatric Dental Group are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
2793
Arkansas
Primary
Pediatric Dentistry
2817
Arkansas
Secondary
Pediatric Dentistry
2700
Arkansas
Secondary
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
5B771
Other
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:
North Little Rock Pediatric Dental Group 4605 Fairway Ave, North Little Rock, Arkansas
Zip:
72116
Phone Number:
501-771-2990
Fax Number:
501-753-0408
Patients can reach North Little Rock Pediatric Dental Group at 4605 Fairway Ave, North Little Rock, Arkansas or can call to book an appointment on 501-771-2990. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.