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General NPI Number Information
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NPI Number | 1700464450
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Entity Type | Organization
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Legal Business Name | MICHAEL R. WAINSCCOTT D.D.S. P.A.
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 4419 N HIGHWAY 7 STE 301
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-9304
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Country | US
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Telephone | 501-922-8685
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Fax | 501-984-4107
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Provider Business Mailing Address
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Address Line | PO BOX 8039
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71910-8039
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Country | US
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Telephone | 501-922-8685
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. AMANDA L SEAMON
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Credential |
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Telephone | 501-984-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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