Look up the most recent NPI and PECOS records

Malcolm Sevier

Dentist

Dental Providers

2665 Donaghey Ave, Conway, AR 72032-2317

PECOS Enrollment

Based on the most recent information from CMS, provider Malcolm Sevier is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1811059256
Provider Type
Individual
Full Name
Sevier, Malcolm
Gender
Male

Sole Proprietor
No
Enumeration Date
12/14/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2665 Donaghey Ave, Conway, AR 72032-2317

(501) 450-7066

Unlisted Fax

Mailing Location

2665 Donaghey Ave, Conway, AR 72032-2317

(501) 450-7066

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 3498 Arkansas

Malcolm Sevier

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Summitt, James Alfred

Weaver, Jennifer

Conway Dental Center Pllc

Fruchey, Luke

Crafton, Leo

Banks, Tyler Joseph

Lakefront Dental Pllc

Conway Regional Medical Center, Inc

Simon, Greg J

Spencer Gordy Dds Pa