Healthcare Provider Details

I. General information

NPI: 1245344092
Provider Name (Legal Business Name): DENNIS D PARTEN, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W DREW STREET
MONETTE AR
72447
US

IV. Provider business mailing address

210 W DREW STREET
MONETTE AR
72447
US

V. Phone/Fax

Practice location:
  • Phone: 870-486-5464
  • Fax: 870-486-2118
Mailing address:
  • Phone: 870-486-5464
  • Fax: 870-486-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS D PARTEN
Title or Position: OWNER
Credential: M.D.
Phone: 870-486-5464