Individual provider · Type 1 NPI
Clint Dawson Koen, DDS
Pediatric Dentistry · Conway, AR
NPI number
1629143789
Active
Practice location
2700 Allyson Ln
Conway, AR 72034-6281
Fax (501) 730-0335
Mailing address
PO Box 11020
Conway, AR 72034-0018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 3587 (AR) |
| Pediatric Dentistry Primary | 1223P0221X | 3587 (AR) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Conway
About NPI 1629143789
Clint Dawson Koen, DDS's National Provider Identifier is 1629143789, issued on Nov 22, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Conway, AR. The record was last updated on Jun 26, 2014.