MEDICARE: DR. JAMES ARTHUR REMERSCHEID D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	2830	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1548288244	OTHER		GROUP NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000516007	OTHER		UNITED CONCORDIA
4	000861460	OTHER		UNITED CONCORDIA (GROUP)
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	58111	OTHER	AR	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1871553958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ARTHUR REMERSCHEID D.D.S.

Provider Business Mailing Address
First Line	:	2407 S WALDRON RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3736
Country	:	US
Telephone Number	:	479-484-1011
Fax Number	:	479-484-1205

Provider Business Practice Location Address
First Line	:	2407 S WALDRON RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3736
Country	:	US
Telephone Number	:	479-484-1011
Fax Number	:	479-484-1205

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	04/27/2009

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Directions to “ DR. JAMES ARTHUR REMERSCHEID D.D.S.” Practice Location

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