Healthcare Provider Details

I. General information

NPI: 1316531882
Provider Name (Legal Business Name): D&D MEDICAL BILLING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2693 S 2ND ST
CABOT AR
72023-8659
US

IV. Provider business mailing address

PO BOX 186
CABOT AR
72023-0186
US

V. Phone/Fax

Practice location:
  • Phone: 501-941-1038
  • Fax:
Mailing address:
  • Phone: 501-941-1038
  • Fax: 501-941-1957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID VANN
Title or Position: MEMBER
Credential:
Phone: 501-941-1038