Arkansas Orthodontics | |
3782 N Front St Suite 1 Fayetteville AR 72703-5128 | |
(479) 443-1705 | |
(479) 443-1586 |
Full Name | Arkansas Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3782 N Front St, Fayetteville, Arkansas |
Authorized Official Name and Position | Benjamin Burris (OWNER) |
Authorized Official Contact | 4794431705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Arkansas Orthodontics 3782 N Front St Suite 1 Fayetteville AR 72703-5128 Ph: (479) 443-1705 | Arkansas Orthodontics 3782 N Front St Suite 1 Fayetteville AR 72703-5128 Ph: (479) 443-1705 |
NPI Number | 1083957351 |
---|---|
Provider Enumeration Date | 04/04/2013 |
Last Update Date | 04/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083957351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Arkansas) | Primary |
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