LILLIAM M PRADO DDS (NPI# 1720369093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720369093 |
| Entity Type | Organization |
| Organization Name | LILLIAM M PRADO DDS |
| Other Organization Name | FAITH DENTAL CLINIC |
| Practice Address |
7301 Baseline Rd Little Rock AR 72209-4436 |
| Practice Telephone | 5015653009 |
| Practice Fax Number | 5015653511 |
| Mailing Telephone | 5015653009 |
| Mailing Fax Number | 5015653511 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | DR. LILLIAM M PRADO (OWNER) |
| Authorized Official Telephone | 5015653009 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | Y |
| Parent Organization Name | LILLIAM PRADO D.D.S PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3554 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 187151631 | 05 |
| Other Name | Type Code |
|---|---|
| Faith Dental Clinic | Doing Business As Name - Organization |
| Street Address |
7301 BASELINE RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689689440 | William M Flurry | Health Maintenance Organization | 7301 Baseline Rd, Little Rock, AR 72209-4436 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1821567389 | Cantrell Dental | Dentist | 14923 Cantrell Rd, Little Rock, AR 72223-4255 | 2018-11-14 |
| 1992291918 | Darryl K Ragland Dds Pa | Dentist | 11414 W Markham St Ste A, Little Rock, AR 72211-2847 | 2018-07-02 |
| 1114479136 | Arkansas Dental Professionals, Mongrain, P.a | Dentist | 5500 W Markham St, Little Rock, AR 72205-3412 | 2016-10-25 |
| 1467801233 | Joshua Ludford | Dentist | 13600 David O Dodd Rd, Little Rock, AR 72210-2746 | 2016-06-12 |
| 1316392012 | George E Gillian Dds | Dentist | 9700 W Markham St, Little Rock, AR 72205-2124 | 2016-04-30 |
| 1154789121 | Michael L Pohlkamp Dds Pa | Dentist | 16115 Saint Vincent Way Ste 110, Little Rock, AR 72223-3001 | 2016-02-05 |
| 1952772584 | Bethel Burris Oliver Pllc | Dentist | 401 S Bowman Rd, Little Rock, AR 72211-3452 | 2015-10-08 |
| 1184011611 | Richard C Keech, Dds P.a. | Dentist | 7206 F St, Little Rock, AR 72205-2621 | 2015-04-22 |
| 1841690633 | Cantrell West Dental | Dentist | 14309 Cantrell Rd Ste 6, Little Rock, AR 72223-4230 | 2014-08-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
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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.