Provider Demographics
NPI:1467600890
Name:JAMES C. VARNER, D.D.S, PA
Entity Type:Organization
Organization Name:JAMES C. VARNER, D.D.S, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CAREY
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-636-3121
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental