Provider Demographics
NPI:1194468686
Name:DEWEY, ERICA PAIGE (MD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:PAIGE
Last Name:DEWEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12621 HIGHWAY 165
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-9515
Mailing Address - Country:US
Mailing Address - Phone:501-580-6404
Mailing Address - Fax:
Practice Address - Street 1:130 J F BLVD
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086-9365
Practice Address - Country:US
Practice Address - Phone:501-436-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2025-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-17185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine