NPI 1003941857

Randolph L Lais, DDS

Practitioner General Practice Dentistry Rogers, AR

Practice location

Address: 5508 Pinnacle Point Dr, Rogers, AR 72758-8143
Phone: (479) 845-1225
Fax: (479) 845-1227

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3304 (AR)

Other Dentist providers in Arkansas →

Registry record

NPI: 1003941857
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2007
Record last updated: 8 Jul 2007

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.