Provider Demographics
NPI:1457365165
Name:ZARLINGO, DAVID VINCENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:VINCENT
Last Name:ZARLINGO
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 1:1057 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72927-3403
Mailing Address - Country:US
Mailing Address - Phone:479-675-3521
Mailing Address - Fax:479-675-2073
Practice Address - Street 1:1057 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72927-3403
Practice Address - Country:US
Practice Address - Phone:479-675-3521
Practice Address - Fax:479-675-2073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR29411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR118171608Medicaid
AR58505OtherAR BCBS
AR861890OtherUNITED CONCORDIA