Provider Demographics
NPI:1346454865
Name:INMAN, DAVID B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:INMAN
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 1:1802 HWY 161
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-3702
Mailing Address - Country:US
Mailing Address - Phone:501-945-2500
Mailing Address - Fax:501-945-4842
Practice Address - Street 1:1802 HWY 161
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-3702
Practice Address - Country:US
Practice Address - Phone:501-945-2500
Practice Address - Fax:501-945-4842
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR28031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59295OtherBLUE CROSS BLUE SHIELD
AR117098608Medicaid