Organization · NPI-2

Dement Internal Medicine Clinic, P.A.

Clinic/Center · Paragould, AR

NPI number1053537845
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1053537845
Entity type
Organization (NPI-2)
Legal business name
Dement Internal Medicine Clinic, P.A.
Organization subpart
No
Enumeration date
Apr 18, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterE4148ARYes

Practice location

1000 W Kingshighway Ste 7
Paragould, AR 72450-4197

Phone 870-236-8855 · Fax 870-236-8895

Mailing address

1000 W Kingshighway Ste 7
Paragould, AR 72450-4197

Phone 870-236-8855 · Fax 870-236-8895

Authorized official

William T. Dement
MD
8702368855

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Paragould, AR