MOBILECARE DENTAL PLLC NPI 1104369370

NPI Information

  • NPI: 1104369370
  • Provider Name: MOBILECARE DENTAL, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 04D2192879
  • Address: 2729 RUDY RD
    VAN BUREN, AR
    ZIP 72956
  • Phone: (479) 471-1677

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NPI Details

MOBILECARE DENTAL, PLLC is a dental clinic center in Van Buren, AR. MOBILECARE DENTAL, PLLC NPI is 1104369370. The provider is registered as an organization entity type.

The provider's business location address is:

2729 RUDY RD
VAN BUREN, AR
ZIP 72956-936
Phone: (479) 471-1677

The provider's authorized official is Philip Scott Morton .
The authorized official title is Owner and has the following contact phone number (479) 806-1852.

The CLIA number assigned to this NPI record is 04D2192879 - other - ancillary for ltc/al dent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental1190ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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