MEDICARE: ANN HUBBS FAMILY DENTISTRY INC

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	3112	AR

General Provider Information

NPI Number	:	1982883690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANN HUBBS FAMILY DENTISTRY INC

Provider Business Mailing Address
First Line	:	4001 W FINANCIAL PARKWAY
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-5804
Country	:	US
Telephone Number	:	479-636-8700
Fax Number	:	479-372-4055

Provider Business Practice Location Address
First Line	:	4001 W FINANCIAL PKWY
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-1449
Country	:	US
Telephone Number	:	474-636-8700
Fax Number	:	479-372-4055

Authorized Official
Title or Position	:	OWNER/DENTIST/PRESIDENT
Name	:	DR. ELIZABETH ANN HUBBS
Credential	:	D.D.S.
Telephone Number	:	479-636-8700

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	03/09/2016

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