Provider Demographics
NPI:1538137443
Name:PLUMB DENTAL CARE, RAY E. PLUMB, D.D.S., P.A.
Entity Type:Organization
Organization Name:PLUMB DENTAL CARE, RAY E. PLUMB, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PLUMB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-753-9158
Mailing Address - Street 1:3810 CAMP ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-4602
Mailing Address - Country:US
Mailing Address - Phone:501-753-9158
Mailing Address - Fax:
Practice Address - Street 1:3810 CAMP ROBINSON RD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-4602
Practice Address - Country:US
Practice Address - Phone:501-753-9158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR29741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty