MEDICARE: HART AND COCO PROSTHODONTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics
2	261QD0000X	Dental Clinic/Center	3533	AR
3	261QD0000X	Dental Clinic/Center	3543	AR

General Provider Information

NPI Number	:	1043544307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HART AND COCO PROSTHODONTICS

Provider Business Mailing Address
First Line	:	8028 CANTRELL RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-2419
Country	:	US
Telephone Number	:	501-319-7520
Fax Number	:	501-319-7521

Provider Business Practice Location Address
First Line	:	8028 CANTRELL RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-2419
Country	:	US
Telephone Number	:	501-319-7520
Fax Number	:	501-319-7521

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JONATHAN MICHAEL HART
Credential	:	DDS MDS
Telephone Number	:	501-319-7520

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	04/22/2020

Similar Medicare Providers

1245441526 — DR. JONATHAN MICHAEL HART D.D.S., M.D.S.
Practice Location Address:

8028 CANTRELL RD
LITTLE ROCK, AR
72227-2419

Practice Phone: 501-319-7520
Practice Fax:

1093980740 — DR. SUZANNE KEMP COCO D.D.S., M.D.S.
Practice Location Address:

8028 CANTRELL RD
LITTLE ROCK, AR
72227-2419

Practice Phone: 501-319-7520
Practice Fax:

1730776063 — ERICKA MILLER DMD
Practice Location Address:

8028 CANTRELL RD
LITTLE ROCK, AR
72227-2419

Practice Phone: 501-319-7520
Practice Fax:

1669064713 — OZARK PROS LITTLE ROCK
Practice Location Address:

8028 CANTRELL RD
LITTLE ROCK, AR
72227-2419

Practice Phone: 501-319-7520
Practice Fax:

1942559935 — MRS. JENNIFER LEIGH ACKLIN MS OTR/L
Practice Location Address:

2419 STONEY CREEK DR
LITTLE ROCK, AR
72211-4058

Practice Phone: 501-312-1277
Practice Fax:

1609503218 — SP MEDICAL SERVICES PC
Practice Location Address:

300 S SPRING ST STE 300
LITTLE ROCK, AR
72201-2419

Practice Phone: 347-534-8640
Practice Fax:

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