Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Interdisciplinary Dental Therapy, PA

Organization General Practice Dentistry · NPI 1992042386

Interdisciplinary Dental Therapy, PA is a General Practice Dentistry in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2013.

Licensed in
AR
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9200 Chicot Rd
Little Rock, AR 72209-6107
Phone: (501) 562-3029
Fax: (501) 568-1823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence AR3333 (AR)

Record details

NPI number1992042386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Montgomery Heathman — President/Ceo · (479) 856-5588
NPI enumeratedJanuary 6, 2013
Last updated in NPPESJanuary 6, 2013
Mailing address9200 Chicot Rd, Little Rock, AR 72209-6107

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