Booneville Family Dental, Pllc | |
1057 W Main St Booneville AR 72927-3403 | |
(479) 719-1373 | |
Not Available |
Full Name | Booneville Family Dental, Pllc |
---|---|
Speciality | Dentist |
Location | 1057 W Main St, Booneville, Arkansas |
Authorized Official Name and Position | James Wesley Borengasser (OWNER) |
Authorized Official Contact | 4797191373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Booneville Family Dental, Pllc 9205 Rosewood Dr Fort Smith AR 72903-7060 Ph: (479) 719-1373 | Booneville Family Dental, Pllc 1057 W Main St Booneville AR 72927-3403 Ph: (479) 719-1373 |
NPI Number | 1376081588 |
---|---|
Provider Enumeration Date | 02/08/2017 |
Last Update Date | 02/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376081588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3525 (Arkansas) | Primary |
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› Verified 9 days ago
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