A-O-M-S, PLLC
Dentist, Oral and Maxillofacial Surgery in Hot Springs, AR. Organization (NPI-2).
NPI number1841510302
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1841510302
- Entity type
- Organization (NPI-2)
- Legal business name
- A-O-M-S, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2010
- Certification date
- Apr 8, 2022
- Last updated
- Apr 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
| 174400000X | Specialist | 3759 | AR | |
| 204E00000X | Oral & Maxillofacial Surgery | – | – |
Other names
- Arkansas Oral & Maxillofacial Surgeons (Other Name)
Practice location
200 Mcauley CtHot Springs, AR 71913-6312
Phone 501-623-4485 · Fax 501-623-4480
Mailing address
200 Mcauley CtHot Springs, AR 71913-6312
Phone 501-623-4485 · Fax 501-623-4480
Authorized official
Daron C Praetzel
Owner
5016234485
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