MEDICARE: NED E. ALLEY, DDS, 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
1	122300000X	Dentist	3007	AR

General Provider Information

NPI Number	:	1609012921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NED E. ALLEY, DDS, PLLC

Provider Business Mailing Address
First Line	:	1225 BRECKENRIDGE DR
Second Line	:	SUITE 207
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-1558
Country	:	US
Telephone Number	:	501-224-7135
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 BRECKENRIDGE DR
Second Line	:	SUITE 207
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-1558
Country	:	US
Telephone Number	:	501-224-7135
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. NED E ALLEY
Credential	:	DDS
Telephone Number	:	501-224-7135

Provider Enumeration Date	:	12/17/2008
Last Update Date	:	12/17/2008

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