Provider Demographics
NPI:1447495049
Name:STEVEN F. MOLPUS, D.D.S., P.L.C.
Entity type:Organization
Organization Name:STEVEN F. MOLPUS, D.D.S., P.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-771-4631
Mailing Address - Street 1:2501 CRESTWOOD RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-6864
Mailing Address - Country:US
Mailing Address - Phone:501-771-4631
Mailing Address - Fax:501-771-4682
Practice Address - Street 1:2501 CRESTWOOD RD
Practice Address - Street 2:SUITE 302
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-6864
Practice Address - Country:US
Practice Address - Phone:501-771-4631
Practice Address - Fax:501-771-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3305261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center