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NPI Code Detail

MEDICARE: SILOAM SPRINGS DENTAL CARE PLLC

MEDICARE: SILOAM SPRINGS DENTAL CARE PLLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1255285094
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILOAM SPRINGS DENTAL CARE PLLC
Provider Business Mailing Address
First Line : 740 S HOLLY ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3304
Country : US
Telephone Number : 479-549-4746
Fax Number : 479-549-4747
Provider Business Practice Location Address
First Line : 740 S HOLLY ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3304
Country : US
Telephone Number : 479-549-4746
Fax Number : 479-549-4747
Authorized Official
Title or Position : OWNER
Name : MICHAEL MCDONALD
Credential : DDS
Telephone Number : 210-956-0517
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “SILOAM SPRINGS DENTAL CARE PLLC ” Practice Location

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