Healthcare Provider Details

I. General information

NPI: 1174493332
Provider Name (Legal Business Name): VALLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11811 HINSON RD STE 100
LITTLE ROCK AR
72212-3472
US

IV. Provider business mailing address

11811 HINSON RD STE 100
LITTLE ROCK AR
72212-3472
US

V. Phone/Fax

Practice location:
  • Phone: 501-444-2429
  • Fax:
Mailing address:
  • Phone: 501-444-2429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS INMAN JR.
Title or Position: OWNER
Credential: DDS
Phone: 501-454-5524