Provider Demographics
NPI:1902568959
Name:DOYLE FAMILY DENTAL, INC.
Entity Type:Organization
Organization Name:DOYLE FAMILY DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:870-916-2315
Mailing Address - Street 1:316 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:CAVE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72521-9700
Mailing Address - Country:US
Mailing Address - Phone:870-916-2315
Mailing Address - Fax:
Practice Address - Street 1:316 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:AR
Practice Address - Zip Code:72521-9700
Practice Address - Country:US
Practice Address - Phone:870-916-2315
Practice Address - Fax:870-916-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty