Provider Demographics
NPI:1922540400
Name:CENTRAL DENTAL SEARCY, PLLC
Entity type:Organization
Organization Name:CENTRAL DENTAL SEARCY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:I
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-438-3870
Mailing Address - Street 1:1113 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7318
Mailing Address - Country:US
Mailing Address - Phone:501-268-5371
Mailing Address - Fax:501-268-8998
Practice Address - Street 1:1113 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7318
Practice Address - Country:US
Practice Address - Phone:501-268-5371
Practice Address - Fax:501-268-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty