Provider Demographics
NPI:1700464450
Name:MICHAEL R. WAINSCCOTT D.D.S. P.A.
Entity Type:Organization
Organization Name:MICHAEL R. WAINSCCOTT D.D.S. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-984-6400
Mailing Address - Street 1:PO BOX 8039
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71910-8039
Mailing Address - Country:US
Mailing Address - Phone:501-922-8685
Mailing Address - Fax:
Practice Address - Street 1:4419 N HIGHWAY 7 STE 301
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-9304
Practice Address - Country:US
Practice Address - Phone:501-922-8685
Practice Address - Fax:501-984-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty