IndividualActive
Andrew Plichta
NPI 1417797176 · Dentist · Conway, AR
Provider details
- NPI number
- 1417797176
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 30.027573 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1125 S Amity Rd
Conway, AR 72032-8090
Phone: (501) 764-4465
Approximate (ZIP-level) locationGet directions
Mailing address
6775 Crown Dr
Brownsburg, IN 46112-9100
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.