Provider Demographics
NPI:1699857383
Name:ALLEY, NED E (DDS)
Entity Type:Individual
Prefix:DR
First Name:NED
Middle Name:E
Last Name:ALLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 BRECKENRIDGE DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-1558
Mailing Address - Country:US
Mailing Address - Phone:501-224-7135
Mailing Address - Fax:501-224-8327
Practice Address - Street 1:1225 BRECKENRIDGE DR
Practice Address - Street 2:SUITE 207
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1558
Practice Address - Country:US
Practice Address - Phone:501-224-7135
Practice Address - Fax:501-224-8327
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice