Provider Demographics
NPI:1437601788
Name:APEX DENTAL PARTNERS PLLC
Entity Type:Organization
Organization Name:APEX DENTAL PARTNERS PLLC
Other - Org Name:KIDZ CHOICE DENTAL, HELENA FAMILY DENTAL CENTRAL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:I
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-328-5439
Mailing Address - Street 1:1701 CENTERVIEW DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4308
Mailing Address - Country:US
Mailing Address - Phone:501-328-5439
Mailing Address - Fax:501-328-5011
Practice Address - Street 1:1701 CENTERVIEW DR
Practice Address - Street 2:SUITE 114
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4308
Practice Address - Country:US
Practice Address - Phone:501-328-5439
Practice Address - Fax:501-328-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1223G0001X, 1223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty