Organization · Type 2 NPI

Oral & Facial Surgery Center PA

Oral and Maxillofacial Surgery (Dentist) · Fayetteville, AR

NPI number 1891744462 Active

Practice location

3996 N Frontage Rd
Fayetteville, AR 72703-5122

Call (479) 582-3002 Map

Fax (479) 582-2840

Mailing address

PO Box 4185
Fayetteville, AR 72702-4185

Other practice locations

520 N Pine St, Harrison, AR 72601-3442 · (870) 741-3877
2926 W Huntsville Ave, Springdale, AR 72762-7726 · (479) 582-3000

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed
Oral & Maxillofacial Surgery (D.M.D.)	204E00000X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Fayetteville

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NPI record

NPI: 1891744462
Entity type: Organization (Type 2)
Issued: May 9, 2006
Last updated: Jun 7, 2022
Status: Active

Other names

<unavail>
Arkansas Oral & Facial Surgery Center PA · doing business as
Maxillofacial Surgery Center · former legal business name
Maxillofacial Surgery Center · former legal business name

Authorized official

Dr. Scotty L Bolding, DDS, MS
Owner
(479) 957-4611

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891744462

Oral & Facial Surgery Center PA's National Provider Identifier is 1891744462, issued on May 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 7, 2022.