Provider Demographics
NPI:1255497368
Name:MICHAEL L. QUICK, D.D.S., PA
Entity Type:Organization
Organization Name:MICHAEL L. QUICK, D.D.S., PA
Other - Org Name:ORTHODONTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:DON
Authorized Official - Last Name:QUICK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-758-1741
Mailing Address - Street 1:2501 CRESTWOOD RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-6864
Mailing Address - Country:US
Mailing Address - Phone:501-758-1741
Mailing Address - Fax:501-758-7677
Practice Address - Street 1:2501 CRESTWOOD RD
Practice Address - Street 2:SUITE 303
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-6864
Practice Address - Country:US
Practice Address - Phone:501-758-1741
Practice Address - Fax:501-758-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR24571223X0400X
AR30271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty