Provider Demographics
NPI:1538498266
Name:FRANCIS B FLANAGIN DDS PA
Entity Type:Organization
Organization Name:FRANCIS B FLANAGIN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:FLANAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-329-2000
Mailing Address - Street 1:2425 PRINCE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3746
Mailing Address - Country:US
Mailing Address - Phone:501-329-2000
Mailing Address - Fax:
Practice Address - Street 1:2425 PRINCE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3746
Practice Address - Country:US
Practice Address - Phone:501-329-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR32631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty