Organization · Type 2 NPI
Pea Ridge Family Dentistry, PLLC
Dental Clinic/Center · Pea Ridge, AR
NPI number
1407742828
Active
Practice location
459 Slack Street
Pea Ridge, AR 72751
Mailing address
851 W I 35 Frontage Rd Ste 350
Edmond, OK 73034-7472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Pea Ridge
About NPI 1407742828
Pea Ridge Family Dentistry, PLLC's National Provider Identifier is 1407742828, issued on Jun 13, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pea Ridge, AR. The record was last updated on Jun 13, 2025.