Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trident Medical Care Group LLC

Organization Family Medicine Physician · NPI 1629904461

Trident Medical Care Group LLC provides Family Medicine Physician services in Russellville, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 S Inglewood Ave Ste A
Russellville, AR 72801-3353
Phone: (479) 449-0400
Fax: (479) 282-0410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629904461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kacey Seal — Manager · (479) 449-0400
NPI enumeratedJune 19, 2026
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address10398 Cherokee Loop, Dardanelle, AR 72834-2402

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