| Charles F Coon Dds Pllc | |
|
701 Nw Mcnelly Rd Ste 13 Bentonville AR 72712-9160 | |
| (517) 648-4503 | |
| Not Available |
| Full Name | Charles F Coon Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 701 Nw Mcnelly Rd Ste 13, Bentonville, Arkansas |
| Authorized Official Name and Position | Charles Fulcher Coon (OWNER/DENTIST) |
| Authorized Official Contact | 5176484503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles F Coon Dds Pllc 7 Marionet Cir Bella Vista AR 72714-5903 Ph: (517) 648-4503 | Charles F Coon Dds Pllc 701 Nw Mcnelly Rd Ste 13 Bentonville AR 72712-9160 Ph: (517) 648-4503 |
| NPI Number | 1336907195 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336907195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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