ARKANSAS ORAL SURGERY
NPI 1962939439
Dentist - Oral and Maxillofacial Surgery in Conway, AR

Active since May 16, 2017
2425 PRINCE ST STE 2, CONWAY, AR 72034(501) 329-3223(501) 329-8939 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Arkansas Oral Surgery NPPES

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

ARKANSAS ORAL SURGERY (NPI 1962939439) is a healthcare organization registered as an oral and maxillofacial surgery in Conway, Arkansas and active in the NPI registry since May 2017. The organization lists Donny L Quick, Owner, as its authorized official.

NPPES Registry Identity

NPI1962939439
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameARKANSAS ORAL SURGERY
Location Address2425 PRINCE ST STE 2Conway, AR 72034-3701
Mailing Address2425 Prince St Ste 2Conway, AR 72034-3701 · (501) 329-3223 · Fax (501) 329-8939
Fax(501) 329-8939
Organization SubpartNo
Authorized OfficialDonny L QuickOwner · (501) 329-3223
Enumeration DateMay 16, 2017
NPI 1962939439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AR · 3342
Definition

An oral and maxillofacial surgery dentist 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.

2425 PRINCE ST STE 2, Conway, AR 72034

Other Identifiers 1

Medicaid165772679AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 04D2090186

Arkansas Heart Hospital Clinic - Conway · Conway, AR
Active · expires Jan 19, 2027
CLIA Number04D2090186
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorSusan Kerr
Laboratory Phone(501) 219-7880
Laboratory LocationArkansas Heart Hospital Clinic - Conway605 Dave Ward, Suite 105, Conway, AR 72034
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962939439, enumerated as an "organization" on May 16, 2017.

The provider is located at 2425 PRINCE ST STE 2 CONWAY, AR 72034 and the phone number is (501) 329-3223.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.