Ut Pediatric Dentistry is a Pediatric Dental Clinic in West Memphis, Arkansas. It is located at 200 W Tyler Ave, West Memphis, AR and its contact number is 870-733-3854. The authorized person for Ut Pediatric Dentistry is Dr. Sanford Jay Fenton
who is Chair of the clinic and their contact number is 870-733-3854. Ut Pediatric Dentistry 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:
Ut 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:
Ut Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
200 W Tyler Ave, West Memphis, Arkansas, 72301-4223
Phone:
870-733-3854
Fax:
870-733-3851
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. Sanford Jay Fenton
Position:
Chair
Contact Number:
870-733-3854
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 Ut Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1407988116
NPI Enumeration Date:
09 Mar, 2007
NPI Last Update On:
19 Mar, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ut Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
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
150226608
Medicaid
Arkansas
107199608
Medicaid
Arkansas
111494608
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:
Ut Pediatric Dentistry 200 W Tyler Ave, West Memphis, Arkansas
Zip:
72301-4223
Phone Number:
870-733-3854
Fax Number:
870-733-3851
Patients can reach Ut Pediatric Dentistry at 200 W Tyler Ave, West Memphis, Arkansas or can call to book an appointment on 870-733-3854. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.