ORAL SURGERY OF CENTRAL ARKANSAS
NPI 1124491733
Clinic/Center - Oral and Maxillofacial Surgery in North Little Rock, AR

Active since November 04, 2015
2504 MCCAIN BLVD STE 202, NORTH LITTLE ROCK, AR 72116(501) 771-7600 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral Surgery Of Central Arkansas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL SURGERY OF CENTRAL ARKANSAS (NPI 1124491733) is a healthcare organization registered as an oral and maxillofacial surgery in North Little Rock, Arkansas and active in the NPI registry since November 2015. The organization lists John M Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1124491733
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameORAL SURGERY OF CENTRAL ARKANSAS
Location Address2504 MCCAIN BLVD STE 202North Little Rock, AR 72116-7612
Mailing Address2504 Mccain Blvd Ste 202North Little Rock, AR 72116-7612
Organization SubpartNo
Authorized OfficialJohn M JohnsonPresident · (501) 327-5255
Enumeration DateNovember 4, 2015
NPI 1124491733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Licenses Licensed in AR · 3775 Licensed in AR · 2606
Definition
An oral and maxillofacial surgery clinic or center specialized in 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.
2504 MCCAIN BLVD STE 202, North Little Rock, AR 72116

Other Identifiers 2

Medicaid202575679AR
Medicaid200352679AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral Surgery Of Central Arkansas's NPI number?

The NPI number for Oral Surgery Of Central Arkansas is 1124491733. It was assigned to this organization in the NPPES registry on November 4, 2015.

Where is Oral Surgery Of Central Arkansas located?

Oral Surgery Of Central Arkansas is located at 2504 Mccain Blvd Ste 202, North Little Rock, AR 72116. The listed phone number is (501) 771-7600.

What is Oral Surgery Of Central Arkansas's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Oral Surgery Of Central Arkansas was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.