Provider Demographics
NPI:1225137318
Name:FLEISCHNER, STUART ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ALLEN
Last Name:FLEISCHNER
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 1:211 HOBSON AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-3724
Mailing Address - Country:US
Mailing Address - Phone:501-624-3323
Mailing Address - Fax:501-624-5626
Practice Address - Street 1:211 HOBSON AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-3724
Practice Address - Country:US
Practice Address - Phone:501-624-3323
Practice Address - Fax:501-624-5626
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR24701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR58606OtherARKANSAS BLUE CROSS
AR841848OtherUNITED CONCORDIA
AR71068782550OtherQUAL CHOICE