Healthcare Provider Details

I. General information

NPI: 1447495049
Provider Name (Legal Business Name): STEVEN F. MOLPUS, D.D.S., P.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CRESTWOOD RD SUITE 302
NORTH LITTLE ROCK AR
72116-6864
US

IV. Provider business mailing address

2501 CRESTWOOD RD SUITE 302
NORTH LITTLE ROCK AR
72116-6864
US

V. Phone/Fax

Practice location:
  • Phone: 501-771-4631
  • Fax: 501-771-4682
Mailing address:
  • Phone: 501-771-4631
  • Fax: 501-771-4682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number3305
License Number StateAR

VIII. Authorized Official

Name: MS. DEBI M SPECTOR
Title or Position: INSURANCE COORDINATOR
Credential:
Phone: 501-771-4631