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NPI 1962341990

NPI 1962341990 : ARKANSAS CENTER FOR IMPLANT SURGERY : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1962341990
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARKANSAS CENTER FOR IMPLANT SURGERY 
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Dates
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    Enumeration Date     |    03/26/2026
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    Last Update Date     |    03/26/2026
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Provider Practice Location Address
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    Address Line         |    5 SAINT VINCENT CIR STE 100 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-5415
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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                  |    910-992-1251
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     JOHN PATTON BATSON 
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    Credential           |    DDS
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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        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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