Provider Demographics
NPI:1063573780
Name:PATTERSON, ALMA ELIZABETH (DMD)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:ELIZABETH
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WEST ARCH AVENUE
Mailing Address - Street 2:
Mailing Address - City:SEARCHY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-5206
Mailing Address - Country:US
Mailing Address - Phone:501-268-1101
Mailing Address - Fax:501-268-2791
Practice Address - Street 1:600 WEST ARCH AVENUE
Practice Address - Street 2:
Practice Address - City:SEARCHY
Practice Address - State:AR
Practice Address - Zip Code:72143-5206
Practice Address - Country:US
Practice Address - Phone:501-268-1101
Practice Address - Fax:501-268-2791
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2957122300000X
AR361223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223P0221XDental ProvidersDentistPediatric Dentistry