Provider Demographics
NPI:1942236823
Name:BUFFINGTON, APRIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:APRIL
Other - Middle Name:B
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:104 EAST BOND
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301
Mailing Address - Country:US
Mailing Address - Phone:870-735-8222
Mailing Address - Fax:870-735-0190
Practice Address - Street 1:104 EAST BOND
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301
Practice Address - Country:US
Practice Address - Phone:870-735-8222
Practice Address - Fax:870-735-0190
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR31411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1942236823Medicaid
AR158090608Medicaid