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MODELEVSKY DDS PA
NPI 1922267657
Clinic/Center - Oral and Maxillofacial Surgery in Jonesboro, AR

Active since June 06, 2008
906 OSLER DR, JONESBORO, AR 72401(870) 972-8570(870) 972-5451 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modelevsky Dds Pa NPPES

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

MODELEVSKY DDS PA (NPI 1922267657) is a healthcare organization registered as an oral and maxillofacial surgery in Jonesboro, Arkansas and active in the NPI registry since June 2008. The organization lists Teri Modelevsky, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922267657
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameMODELEVSKY DDS PA
Location Address906 OSLER DRJonesboro, AR 72401-4366
Mailing AddressPo Box 1920Jonesboro, AR 72403-1920 · (870) 972-8570 · Fax (870) 972-5451
Phone(870) 972-8570
Fax(870) 972-5451
Organization SubpartNo
Authorized OfficialTeri ModelevskyOffice Manager · (870) 972-8570
Enumeration DateJune 6, 2008
Last NPPES UpdateJune 19, 2012
✔ NPI 1922267657 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
License✔ Licensed in AR · 2302
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.
906 OSLER DR, Jonesboro, AR 72401
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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 Modelevsky Dds PA's NPI number?

The NPI number for Modelevsky Dds PA is 1922267657. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Modelevsky Dds PA located?

Modelevsky Dds PA is located at 906 Osler Dr, Jonesboro, AR 72401. The listed phone number is (870) 972-8570.

What is Modelevsky Dds PA'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 Modelevsky Dds PA was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.