Provider Demographics
NPI:1881296648
Name:KATHRYN M RINEHART DDS PA
Entity type:Organization
Organization Name:KATHRYN M RINEHART DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-464-7500
Mailing Address - Street 1:905 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4566
Mailing Address - Country:US
Mailing Address - Phone:479-464-7500
Mailing Address - Fax:479-273-7741
Practice Address - Street 1:905 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4566
Practice Address - Country:US
Practice Address - Phone:479-464-7500
Practice Address - Fax:479-273-7741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty