Provider Demographics
NPI:1336282599
Name:VARNER, JAMES CAREY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CAREY
Last Name:VARNER
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 1:3612 SOUTHERN HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8013
Mailing Address - Country:US
Mailing Address - Phone:479-636-3121
Mailing Address - Fax:479-621-0173
Practice Address - Street 1:3612 SOUTHERN HILLS BLVD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8013
Practice Address - Country:US
Practice Address - Phone:479-636-3121
Practice Address - Fax:479-621-0173
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR34771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162511608Medicaid