Healthcare Provider Details
I. General information
NPI: 1609966530
Provider Name (Legal Business Name): ARKANSAS EAR NOSE & THROAT, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4220 RICHARDS RD
NORTH LITTLE ROCK AR
72117
US
IV. Provider business mailing address
4220 RICHARDS RD
NORTH LITTLE ROCK AR
72117
US
V. Phone/Fax
- Phone: 501-975-7550
- Fax: 501-975-7553
- Phone: 501-975-7550
- Fax: 501-975-7553
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MELANIE
H
SMITH
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 501-975-7550