Provider Demographics
NPI:1194336388
Name:CRYSTAL BELL NORTON DDS PA
Entity type:Organization
Organization Name:CRYSTAL BELL NORTON DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-899-6888
Mailing Address - Street 1:5501 W PINNACLE POINTE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8133
Mailing Address - Country:US
Mailing Address - Phone:479-899-6888
Mailing Address - Fax:479-715-6831
Practice Address - Street 1:5501 W PINNACLE POINTE DR STE 1
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8133
Practice Address - Country:US
Practice Address - Phone:479-899-6888
Practice Address - Fax:479-715-6831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1558742049OtherSARAH BEERS
AR1144848490OtherABBEY NORWOOD
AR1831294453OtherCRYSTAL BELL NORTON