MEDICARE: ALMA ELIZABETH PATTERSON DMD

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	122300000X	Dentist	2957	AR
2	1223P0221X	Pediatric Dentistry	36	AR

General Provider Information

NPI Number	:	1063573780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMA ELIZABETH PATTERSON DMD

Provider Business Mailing Address
First Line	:	600 WEST ARCH AVENUE
Second Line	:
City	:	SEARCHY
State	:	AR
Zip	:	72143-5206
Country	:	US
Telephone Number	:	501-268-1101
Fax Number	:	501-268-2791

Provider Business Practice Location Address
First Line	:	600 WEST ARCH AVENUE
Second Line	:
City	:	SEARCHY
State	:	AR
Zip	:	72143-5206
Country	:	US
Telephone Number	:	501-268-1101
Fax Number	:	501-268-2791

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/11/2025

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