Provider Demographics
NPI:1518325182
Name:THOMAS A. SARNA DDS PLLC
Entity Type:Organization
Organization Name:THOMAS A. SARNA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:SARNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-202-8666
Mailing Address - Street 1:2411 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-6520
Mailing Address - Country:US
Mailing Address - Phone:479-202-8666
Mailing Address - Fax:844-315-4115
Practice Address - Street 1:2411 FAYETTEVILLE RD
Practice Address - Street 2:SUITE C
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-6520
Practice Address - Country:US
Practice Address - Phone:479-202-8666
Practice Address - Fax:844-315-4115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4013261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery