Healthcare Provider Details

I. General information

NPI: 1487300612
Provider Name (Legal Business Name): FRUCHEY DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2022
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14810 CANTRELL RD STE 150
LITTLE ROCK AR
72223-4681
US

IV. Provider business mailing address

14810 CANTRELL RD STE 150
LITTLE ROCK AR
72223-4681
US

V. Phone/Fax

Practice location:
  • Phone: 501-673-3905
  • Fax:
Mailing address:
  • Phone: 501-673-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LUKE FRUCHEY
Title or Position: DENTIST
Credential: D.M.D.
Phone: 501-804-9376