Provider Demographics
NPI:1043391519
Name:MCPIKE, NORMAN STANLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:STANLEY
Last Name:MCPIKE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BROWNS LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6107
Mailing Address - Country:US
Mailing Address - Phone:870-932-2358
Mailing Address - Fax:870-932-0512
Practice Address - Street 1:2500 BROWNS LN
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6107
Practice Address - Country:US
Practice Address - Phone:870-932-2358
Practice Address - Fax:870-932-0512
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR23901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice