Provider Demographics
NPI:1366552788
Name:HOT SPRINGS NATIONAL PARK DENTAL GROUP
Entity type:Organization
Organization Name:HOT SPRINGS NATIONAL PARK DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEISCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-624-3323
Mailing Address - Street 1:307 CARPENTER DAM RD STE M
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8282
Mailing Address - Country:US
Mailing Address - Phone:501-624-3323
Mailing Address - Fax:501-262-9790
Practice Address - Street 1:307 CARPENTER DAM RD STE M
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8282
Practice Address - Country:US
Practice Address - Phone:501-624-3323
Practice Address - Fax:501-262-9790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOT SPRINGS NATIONAL PARK DENTAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-30
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty