MEDICARE: DR. JAMES CAREY VARNER DDS

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	1223G0001X	General Practice Dentistry	3477	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336282599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CAREY VARNER DDS

Provider Business Mailing Address
First Line	:	3612 SOUTHERN HILLS BLVD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8013
Country	:	US
Telephone Number	:	479-636-3121
Fax Number	:	479-621-0173

Provider Business Practice Location Address
First Line	:	3612 SOUTHERN HILLS BLVD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8013
Country	:	US
Telephone Number	:	479-636-3121
Fax Number	:	479-621-0173

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/27/2008

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