Individual ProviderRaymond E HambuchenDentistDental ProvidersPractice Address550 Chestnut St, Conway, AR 72032-5402(501) 329-8754PECOS EnrollmentBased on the most recent information from CMS, provider Raymond E Hambuchen 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 ID1295860385Provider TypeIndividualFull NameHambuchen, Raymond ECredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date2/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address550 Chestnut St, Conway, AR 72032-5402Phone(501) 329-8754Fax(501) 329-2530Mailing LocationMailing Address550 Chestnut St, Conway, AR 72032-5402Phone(501) 329-8754Fax(501) 329-2530Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense1869Arkansas