Healthcare Provider Details

I. General information

NPI: 1164369443
Provider Name (Legal Business Name): SOUTH ARKANSAS ORAL SURGERY AND IMPLANT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 W MAIN ST STE 310
EL DORADO AR
71730-5636
US

IV. Provider business mailing address

4715 BAY HILL DR
CONWAY AR
72034-8292
US

V. Phone/Fax

Practice location:
  • Phone: 910-992-1251
  • Fax:
Mailing address:
  • Phone: 910-992-1251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: JOHN PATTON BATSON
Title or Position: OWNER/OPERATOR
Credential: DDS/OMFS
Phone: 910-992-1251