MEDICARE: J BROGAN LOPEZ DDS 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	:	1639804453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J BROGAN LOPEZ DDS PA

Provider Business Mailing Address
First Line	:	1112 AUTUMN OAKS LN
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-2218
Country	:	US
Telephone Number	:	901-828-9261
Fax Number	:

Provider Business Practice Location Address
First Line	:	2414 S 58TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3827
Country	:	US
Telephone Number	:	479-452-3368
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. JAMES BROGAN LOPEZ
Credential	:	DDS
Telephone Number	:	901-828-9261

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	07/18/2022

Similar Medicare Providers

1962422204 — ROBERT L SKINNER DDS PA
Practice Location Address:

2414 S 58TH ST
FORT SMITH, AR
72903-3827

Practice Phone: 479-452-3368
Practice Fax: 479-452-3316

1245305721 — ROBERT LEE SKINNER DDS
Practice Location Address:

2414 S 58TH ST
FORT SMITH, AR
72903-3827

Practice Phone: 479-452-3368
Practice Fax: 479-452-3316

1174184923 — JAMES BROGAN LOPEZ
Practice Location Address:

2414 S 58TH ST
FORT SMITH, AR
72903-3827

Practice Phone: 479-452-3368
Practice Fax:

1053532317 — ELIZABETH V MALKIN
Practice Location Address:

2409 SUNRISE KEY BLVD
FORT LAUDERDALE, FL
33304-3827

Practice Phone: 954-937-6827
Practice Fax:

1669806444 — MRS. JULIE OOSTERHOUS CHADWELL LCSW
Practice Location Address:

3749 N LIGHTHOUSE HILL LN
FORT WORTH, TX
76179-3827

Practice Phone: 817-614-1272
Practice Fax:

1972937530 — JOYCE T KOH RN
Practice Location Address:

2352 LINWOOD AVE APT 2E
FORT LEE, NJ
07024-3827

Practice Phone: 201-321-7749
Practice Fax:

Directions to “J BROGAN LOPEZ DDS PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.