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General NPI Number Information
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NPI Number | 1184558371
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Entity Type | Organization
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Legal Business Name | LANDMARK DENTAL PLLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 70 HEBER SPRINGS ROAD
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City | BATESVILLE
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State | AR
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Zip | 72501
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Country | US
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Telephone | 870-557-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 GALLOWAY RD
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City | NEWARK
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State | AR
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Zip | 72562-9137
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Country | US
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Telephone | 870-557-0949
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Fax |
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Authorized Official
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Title or Position | DENTIST/MANAGER
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Name | DR. LANDON AUSTIN KEASTER
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Credential | DDS
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Telephone | 870-557-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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