Provider Demographics
NPI:1124032362
Name:KAUFFMAN, LUKE BARNES (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:BARNES
Last Name:KAUFFMAN
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 1:1656 MALVERN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7138
Mailing Address - Country:US
Mailing Address - Phone:501-624-1179
Mailing Address - Fax:501-624-4109
Practice Address - Street 1:1656 MALVERN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7138
Practice Address - Country:US
Practice Address - Phone:501-624-1179
Practice Address - Fax:501-624-4109
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2970131223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics