Individual ProviderAlaa Mohammed ShahareDentistDental ProvidersPractice Address1125 S Amity Rd, Conway, AR 72032-8090(501) 764-4465(501) 952-0765PECOS EnrollmentBased on the most recent information from CMS, provider Alaa Mohammed Shahare does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1184456766Provider TypeIndividualFull NameShahare, Alaa MohammedTitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date8/14/2024Last Updated8/14/2024Contact InformationPractice LocationPractice Address1125 S Amity Rd, Conway, AR 72032-8090Phone(501) 764-4465FaxUnlisted FaxMailing LocationMailing Address9000 Pinnacle Valley Rd, Little Rock, AR 72223Phone(501) 952-0765FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense4793Arkansas