Mark E. Pickett
Dental Public Health
135 Cash Rd Nw
Camden
, Arkansas 71701-3833
Mark E. Pickett
Dental Public Health
135 Cash Rd Nw
Camden
, Arkansas 71701-3833
(870) 836-3163
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Mark E. Pickett
- 135 Cash Rd Nw
- Camden, AR
- Zip : 71701-3833
- Fax : (870) 836-3163
- Phone : (870) 836-5003
Second Address
- Mark E. Pickett
- 135 Cash Rd Nw
- Camden, AR
- Zip : 71701-3833
- Fax : (870) 836-3163
- Phone : (870) 836-5003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 2558 | AR |
National Provider Identifier
| NPI | 1275622755 |
|---|---|
| Provider Name | Mark E. Pickett |
| First Address | Camden, AR 71701-3833 |
| Second Address | Camden, AR 71701-3833 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 58716 | BCBS (01) | AR |
| 884614 | UNITED CONCORDIA (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.