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

Trident Medical Care Group LLC

Organization Family Medicine Physician · NPI 1629904461

Trident Medical Care Group LLC is a Family Medicine Physician in Russellville, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 S Inglewood Ave Ste A
Russellville, AR 72801-3353
Phone: (479) 449-0400
Fax: (479) 282-0410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629904461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kacey Seal — Manager · (479) 449-0400
NPI enumeratedJune 19, 2026
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address10398 Cherokee Loop, Dardanelle, AR 72834-2402

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