OrganizationActive
Chicot Memorial Medical Center
NPI 1861901985 · Dental Clinic/Center · Lake Village, AR
Provider details
- NPI number
- 1861901985
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Chicot Memorial Medical Center
- Authorized official
- Susan Vaughn, Cfo
Mailing address
2729 S Highway 65 82
Lake Village, AR 71653-6136
Registry dates
- Enumerated
- 2017-09-20
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.