Healthcare Provider Details

I. General information

NPI: 1124342837
Provider Name (Legal Business Name): HORIZON OMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 PINNACLE HILLS PKWY SUITE 140
ROGERS AR
72758-8953
US

IV. Provider business mailing address

PO BOX 1736
SEARCY AR
72145-1736
US

V. Phone/Fax

Practice location:
  • Phone: 479-464-5800
  • Fax: 479-464-5880
Mailing address:
  • Phone: 479-464-5800
  • Fax: 479-464-5880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number3594
License Number StateAR

VIII. Authorized Official

Name: DR. MARK ANDREW BABER
Title or Position: OWNER
Credential: DDS
Phone: 479-464-5800