Provider Demographics
NPI:1699912584
Name:DAVID V. ZARLINGO D.D.S., P.A.
Entity type:Organization
Organization Name:DAVID V. ZARLINGO D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:ZARLINGO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-675-3521
Mailing Address - Street 1:1057 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72927-3403
Mailing Address - Country:US
Mailing Address - Phone:479-675-3521
Mailing Address - Fax:479-675-2073
Practice Address - Street 1:1057 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72927-3403
Practice Address - Country:US
Practice Address - Phone:479-675-3521
Practice Address - Fax:479-675-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR117894608Medicaid
AR118171608Medicaid