Provider Demographics
NPI:1548487465
Name:FLANAGIN, FRANCIS B (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:B
Last Name:FLANAGIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:FRANCIS
Other - Middle Name:B
Other - Last Name:FLANAGIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3640 ARLINGTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034
Mailing Address - Country:US
Mailing Address - Phone:501-327-5099
Mailing Address - Fax:
Practice Address - Street 1:2425 PRINCE ST STE 5
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3701
Practice Address - Country:US
Practice Address - Phone:501-329-2000
Practice Address - Fax:501-329-2046
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2009-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR32631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR975526OtherUNITED CONCORDIA
AR5T909OtherFEDERAL BLUE CROSS
AR710811527OtherIRS TAXPAYER IDENTIFICATI