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CHICOT MEMORIAL MEDICAL CENTER DENTAL CLINIC
NPI 1861901985
Clinic/Center - Dental in Lake Village, AR

Active since September 20, 2017
2729 S. HWY 65 82, LAKE VILLAGE, AR 71653(870) 265-5351 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Sep 20, 2017 (2 updates tracked since 2017).

About Chicot Memorial Medical Center Dental Clinic NPPES

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

CHICOT MEMORIAL MEDICAL CENTER DENTAL CLINIC (NPI 1861901985) is a healthcare organization registered as a dental in Lake Village, Arkansas and active in the NPI registry since September 2017. The organization lists Susan Vaughn, Cfo, as its authorized official.

NPPES Registry Identity

NPI1861901985
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHICOT MEMORIAL MEDICAL CENTER
Location Address2729 S. HWY 65 82Lake Village, AR 71653
Mailing Address2729 S Highway 65 82Lake Village, AR 71653-6136
Phone(870) 265-5351
Organization SubpartYes
Authorized OfficialSusan VaughnCfo · (870) 265-9229
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1861901985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2729 S. HWY 65 82, Lake Village, AR 71653
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Other Names 1

Other NameChicot Memorial Medical Center Dental Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TRACY JOHNSON PTA
Physical Therapy Assistant
2729 S. HWY 65 82, NULL
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9390

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 Chicot Memorial Medical Center's NPI number?

The NPI number for Chicot Memorial Medical Center is 1861901985. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider is also known as Chicot Memorial Medical Center Dental Clinic.

Where is Chicot Memorial Medical Center located?

Chicot Memorial Medical Center is located at 2729 S. Hwy 65 82, Lake Village, AR 71653. The listed phone number is (870) 265-5351.

What is Chicot Memorial Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Chicot Memorial Medical Center accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 3 other insurers list Chicot Memorial Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chicot Memorial Medical Center was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.