MEDICARE: JAMES C. VARNER, D.D.S, PA

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1467600890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES C. VARNER, D.D.S, PA

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	:	DENTIST
Name	:	DR. JAMES CAREY VARNER
Credential	:	D.D.S
Telephone Number	:	479-636-3121

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	08/27/2008

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