OrganizationConway Dental Center PllcDentistDental ProvidersPractice Address1600 E. Oak Street Suite B, Conway, AR 72032(501) 358-4489(501) 205-1084PECOS EnrollmentBased on the most recent information from CMS, provider Conway Dental Center Pllc 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 ID1275035602Provider TypeOrganizationFull NameConway Dental Center PllcSubpartNoEnumeration Date3/1/2018Last Updated2/15/2019Contact InformationPractice LocationPractice Address1600 E. Oak Street Suite B, Conway, AR 72032Phone(501) 358-4489FaxUnlisted FaxMailing LocationMailing AddressPO Box 241785, Little Rock, AR 72223-0014Phone(501) 205-1084FaxUnlisted FaxAuthorized OfficialNameMatone, Chad (Owner/Dentist)Phone(501) 205-1084Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense3574Arkansas