Provider Demographics
NPI:1437107703
Name:DENTON, ROY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:
Last Name:DENTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2513 MCCAIN BLVD STE 2 #377
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7606
Mailing Address - Country:US
Mailing Address - Phone:901-737-3071
Mailing Address - Fax:901-328-1888
Practice Address - Street 1:2210 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4943
Practice Address - Country:US
Practice Address - Phone:501-932-3500
Practice Address - Fax:501-932-3520
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116106001Medicaid
ARC51860Medicare UPIN
AR53127Medicare ID - Type Unspecified