BRYAN KEITH ANGEL (NPI# 1013127505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013127505 |
| Entity Type | Organization |
| Organization Name | BRYAN KEITH ANGEL |
| Practice Address |
300 S Rodney Parham Rd Ste 3 Little Rock AR 72205-4774 |
| Practice Telephone | 5012244799 |
| Practice Fax Number | 5012249278 |
| Mailing Telephone | 5012244799 |
| Mailing Fax Number | 5012249278 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRYAN KEITH ANGEL (PRESIDENT) |
| Authorized Official Telephone | 5012244799 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3321 | AR | Dental Providers |
| Street Address |
300 S RODNEY PARHAM RD STE 3 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-4774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098208 | Dr. Joseph M. Mazurek, Inc | Dentist | 6500 Baseline Rd, Little Rock, AR 72209-4732 | 2020-06-19 |
| 1386849362 | Cara Janique Jones | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2007-06-19 |
| 1992854558 | Michael Anthony Kitchens | Dentist | 14114 Taylor Loop Rd, Little Rock, AR 72223 | 2007-01-10 |
| 1730283334 | Joseph M Mazurek | Dentist | 6500 Baseline Road, Little Rock, AR 72209 | 2006-09-12 |
| 1336620020 | Small Bites | Dentist | 1001 S Bowman Rd Ste 1, Little Rock, AR 72211-3710 | 2018-08-22 |
| 1437601788 | Apex Dental Partners Pllc | Dentist | 1701 Centerview Dr, Suite 114, Little Rock, AR 72211-4308 | 2016-11-02 |
| 1174949622 | Arkansas Pediatric Dentistry | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2014-03-07 |
| 1003258245 | Arkansas Pediatric Dentistry | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2013-07-29 |
| 1649591256 | Brandon Jeffrey Kitchens | Dentist | 14114 Taylor Loop Rd, Little Rock, AR 72223-4308 | 2010-06-17 |
| 1174706725 | Kitchens Pediatric Dentistry, Pllc | Dentist | 14114 Taylor Loop Rd, Little Rock, AR 72223 | 2007-12-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.