Provider Demographics
NPI:1689031023
Name:THOMAS A. SARNA DDS,PLLC
Entity Type:Organization
Organization Name:THOMAS A. SARNA DDS,PLLC
Other - Org Name:HALF MOON ORAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL SURGEON
Authorized Official - Prefix:DR
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 1:2025 NORTH GREEN ACRES ROAD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703
Mailing Address - Country:US
Mailing Address - Phone:479-202-8666
Mailing Address - Fax:844-315-4115
Practice Address - Street 1:3533 NORTH SHILOH DRIVE SUITE 3
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
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:2016-01-15
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty