Provider Demographics
NPI:1033560412
Name:MCCONNELL, RICHARD BOWEN II (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BOWEN
Last Name:MCCONNELL
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RICK
Other - Middle Name:BOWEN
Other - Last Name:MCCONNELL
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:4901 WARDEN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4901 WARDEN RD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7013
Practice Address - Country:US
Practice Address - Phone:479-445-6335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR41081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice