Borengasser Family Dental, Pllc | |
3510 S 79th St Ste 100 Fort Smith AR 72903-6250 | |
(479) 242-3340 | |
Not Available |
Full Name | Borengasser Family Dental, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 3510 S 79th St Ste 100, Fort Smith, Arkansas |
Authorized Official Name and Position | James Wesley Borengasser (DENTIST) |
Authorized Official Contact | 4792423340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Borengasser Family Dental, Pllc 9205 Rosewood Dr Fort Smith AR 72903-7060 Ph: (479) 719-1373 | Borengasser Family Dental, Pllc 3510 S 79th St Ste 100 Fort Smith AR 72903-6250 Ph: (479) 242-3340 |
NPI Number | 1346756103 |
---|---|
Provider Enumeration Date | 12/15/2017 |
Last Update Date | 12/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346756103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 3525 (Arkansas) | Primary |
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