NPI 1669324786

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Organisation Pedorthist Benton, AR

Practice location

Address: 19718 Interstate 30 N, Benton, AR 72019-8023
Phone: (501) 794-1501

Authorised official

Name: Bart Dickinson
Title: Certified Pedorthist
Phone: (501) 860-5708

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1669324786
Entity type: Organization
NPI issued: 11 Feb 2026
Record last updated: 11 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.