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General NPI Number Information
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NPI Number | 1164369443
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Entity Type | Organization
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Legal Business Name | SOUTH ARKANSAS ORAL SURGERY AND IMPLANT CENTER
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 106 W MAIN ST STE 310
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City | EL DORADO
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State | AR
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Zip | 71730-5636
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Country | US
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Telephone | 910-992-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 4715 BAY HILL DR
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City | CONWAY
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State | AR
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Zip | 72034-8292
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Country | US
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Telephone | 910-992-1251
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JOHN PATTON BATSON
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Credential | DDS/OMFS
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Telephone | 910-992-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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