MEDICARE: DANIEL W ENGLAND DMD

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	3567	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629401112	OTHER	AR	TYPE 2 NPI

General Provider Information

NPI Number	:	1922137108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL W ENGLAND DMD

Provider Business Mailing Address
First Line	:	5215 W VILLAGE PKWY
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8104
Country	:	US
Telephone Number	:	479-715-6845
Fax Number	:	479-715-6851

Provider Business Practice Location Address
First Line	:	5215 W VILLAGE PKWY
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8104
Country	:	US
Telephone Number	:	479-715-6845
Fax Number	:	479-715-6851

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	10/27/2017

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