Chad Matone Dental Services, P.L.L.C.
Dentist, General Practice in Benton, AR. Organization (NPI-2).
NPI number1104294487
StatusActive
Last updated in NPPESFeb 15, 2019
Details
- NPI
- 1104294487
- Entity type
- Organization (NPI-2)
- Legal business name
- Chad Matone Dental Services, P.L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 3, 2015
- Last updated
- Feb 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Benton Dental Center (Doing Business As)
Practice location
216 E Carpenter StBenton, AR 72015-3418
Phone 501-315-1512
Mailing address
Po Box 241785Little Rock, AR 72223-0014
Phone 501-205-1084
Authorized official
Chad Matone
Owner/Dentist
5012051084
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