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NPI Code Detail

MEDICARE: FAITH FAMILY DENTAL

MEDICARE: FAITH FAMILY DENTAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1578085916
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITH FAMILY DENTAL
Provider Business Mailing Address
First Line : 1301 E ROBINSON AVE STE B5
Second Line :
City : SPRINGDALE
State : AR
Zip : 72764-5614
Country : US
Telephone Number : 479-927-6420
Fax Number :
Provider Business Practice Location Address
First Line : 1301 E ROBINSON AVE STE B5
Second Line :
City : SPRINGDALE
State : AR
Zip : 72764-5614
Country : US
Telephone Number : 479-927-6420
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. AMI AGBABLI
Credential : DDS
Telephone Number : 479-927-6420
Provider Enumeration Date : 07/07/2017
Last Update Date : 05/21/2026

Similar Medicare Providers

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Directions to “FAITH FAMILY DENTAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.