CARROLL FAMILY DENTISTRY PLLC
NPI 1598508178
Clinic/Center - Dental in Benton, AR
Active since June 13, 2024
About Carroll Family Dentistry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLL FAMILY DENTISTRY PLLC (NPI 1598508178) is a healthcare organization registered as a dental in Benton, Arkansas and active in the NPI registry since June 2024. The organization lists Ann Pevahouse, General Denist, as its authorized official.
NPPES Registry Identity
NPI1598508178
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCARROLL FAMILY DENTISTRY PLLC
Location Address1202 HWY 35 NBenton, AR 72019-2328
Mailing Address1202 Hwy 35 NBenton, AR 72019-2328 · (501) 776-0620
Phone(501) 776-0620
Organization SubpartNo
Authorized OfficialAnn PevahouseGeneral Denist · (501) 776-0620
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1598508178 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1202 HWY 35 N, Benton, AR 72019
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598508178, enumerated as an "organization" on June 13, 2024.
The provider is located at 1202 HWY 35 N BENTON, AR 72019 and the phone number is (501) 776-0620.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
