Healthcare Provider Details

I. General information

NPI: 1518325182
Provider Name (Legal Business Name): THOMAS A. SARNA DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 FAYETTEVILLE RD SUITE C
VAN BUREN AR
72956-6520
US

IV. Provider business mailing address

2411 FAYETTEVILLE RD SUITE C
VAN BUREN AR
72956-6520
US

V. Phone/Fax

Practice location:
  • Phone: 479-202-8666
  • Fax: 844-315-4115
Mailing address:
  • Phone: 479-202-8666
  • Fax: 844-315-4115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number4013
License Number StateAR

VIII. Authorized Official

Name: THOMAS ARTHUR SARNA
Title or Position: ORAL AND MAXILLOFACIAL SURGEON
Credential: DDS
Phone: 479-202-8666