OrganizationActive
Modelevsky DDS PA
NPI 1922267657 · Oral and Maxillofacial Surgery Clinic/Center · Jonesboro, AR
Provider details
- NPI number
- 1922267657
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teri Modelevsky, Office Manager(870) 972-8570
- License
- 2302 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
906 Osler Dr
Jonesboro, AR 72401-4366
Phone: (870) 972-8570
Fax: (870) 972-5451
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1920
Jonesboro, AR 72403-1920
Registry dates
- Enumerated
- 2008-06-06
- Last updated
- 2012-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.