Provider Demographics
NPI:1225525678
Name:LUKE ADLONG DDS PLLC
Entity Type:Organization
Organization Name:LUKE ADLONG DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ADLONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-733-6525
Mailing Address - Street 1:3090 CRAWFORD LOOP
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-8121
Mailing Address - Country:US
Mailing Address - Phone:501-733-6525
Mailing Address - Fax:
Practice Address - Street 1:2755 PRINCE ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-733-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental