Provider Demographics
NPI:1083082937
Name:J. MICHAEL PLYLER, DDS, PA
Entity Type:Organization
Organization Name:J. MICHAEL PLYLER, DDS, PA
Other - Org Name:PEARCY FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLYLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-767-0011
Mailing Address - Street 1:160 ADAM BROWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:71964-9504
Mailing Address - Country:US
Mailing Address - Phone:501-767-0011
Mailing Address - Fax:
Practice Address - Street 1:160 ADAM BROWN RD
Practice Address - Street 2:
Practice Address - City:PEARCY
Practice Address - State:AR
Practice Address - Zip Code:71964-9504
Practice Address - Country:US
Practice Address - Phone:501-767-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3217122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty