Provider Demographics
NPI:1033226485
Name:STORMS, DARRIN M (DDS, CAGS)
Entity Type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:M
Last Name:STORMS
Suffix:
Gender:M
Credentials:DDS, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 MONTE VALLO MNR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-7869
Mailing Address - Country:US
Mailing Address - Phone:479-751-3232
Mailing Address - Fax:
Practice Address - Street 1:4102 N MALL AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4911
Practice Address - Country:US
Practice Address - Phone:479-521-8887
Practice Address - Fax:479-521-8889
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3447 DENT,107ORTHO1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics