NLR ORAL & MAXILLOFACIAL SURGERY PLLC (NPI# 1063591063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063591063 |
| Entity Type | Organization |
| Organization Name | NLR ORAL & MAXILLOFACIAL SURGERY PLLC |
| Practice Address |
3001 Jfk Blvd No. Little Rock AR 72116 |
| Practice Telephone | 5017583095 |
| Mailing Telephone | 5017583095 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | DR. ROBERT D. KEENE (PARTNER) |
| Authorized Official Telephone | 5017583095 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
3001 JFK BLVD |
| City | NO. LITTLE ROCK |
| State | AR |
| Zip Code | 72116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962939439 | Arkansas Oral Surgery | Dentist | 2425 Prince St Ste 2, Conway, AR 72034-3701 | 2017-05-16 |
| 1952768392 | Thomas A. Sarna Dds,pllc | Dentist | 1400 Se Walton Blvd Ste 10, Bentonville, AR 72712-3202 | 2016-01-15 |
| 1689031023 | Thomas A. Sarna Dds,pllc | Dentist | 3533 North Shiloh Drive Suite 3, Fayetteville, AR 72703 | 2016-01-15 |
| 1548635048 | Ozark Oral Surgery Group, Pllc | Dentist | 591 S Horsebarn Rd Ste 100, Rogers, AR 72758-8710 | 2015-12-09 |
| 1801267430 | Bethel Burris Oliver Pllc | Dentist | 4224 W Sunset Ave, Springdale, AR 72762-4806 | 2015-10-08 |
| 1922498062 | Bethel Burris Oliver Pllc | Dentist | 3333 S Pinnacle Hills Pkwy, Rogers, AR 72758-9100 | 2015-01-28 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1366883886 | Bethel Burris Oliver Pllc | Dentist | 3710 E Main St Ste J, Blytheville, AR 72315-6882 | 2013-07-12 |
| 1801237326 | Bethel Burris Oliver Pllc | Dentist | 4941 N Washington St, Forrest City, AR 72335-7723 | 2013-07-12 |
| 1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
| City | NO. LITTLE ROCK |
| Zip Code | 72116 |
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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.