Provider Demographics
NPI:1548202856
Name:CHURCH, LLOYD F JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:F
Last Name:CHURCH
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:L
Other - Middle Name:FREDERICK
Other - Last Name:CHURCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10310 W MARKHAM ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2175
Mailing Address - Country:US
Mailing Address - Phone:501-224-7536
Mailing Address - Fax:501-224-0237
Practice Address - Street 1:10310 W MARKHAM ST
Practice Address - Street 2:SUITE 301
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2175
Practice Address - Country:US
Practice Address - Phone:501-224-7536
Practice Address - Fax:501-224-0237
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR25481223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics