| D. Blaine Leeds Dbldds Pa | |
|
1101 E Poplar St Clarksville AR 72830-4420 | |
| (479) 754-3357 | |
| (479) 754-0167 |
| Full Name | D. Blaine Leeds Dbldds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 E Poplar St, Clarksville, Arkansas |
| Authorized Official Name and Position | Danny Blaine Leeds (DENTIST) |
| Authorized Official Contact | 4797543357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Blaine Leeds Dbldds Pa 1101 E Poplar St Clarksville AR 72830-4420 Ph: (479) 754-3357 | D. Blaine Leeds Dbldds Pa 1101 E Poplar St Clarksville AR 72830-4420 Ph: (479) 754-3357 |
| NPI Number | 1013153592 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013153592 | NPI | - | NPPES |
| 485722 | Other | UCCI | |
| 5T397 | Other | AR | BLUE CROSS/ BLUE SHIELD |
| 136700608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AR3197 (Arkansas) | Primary |
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Arkansas River Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Poplar St, Clarksville, AR 72830 Phone: 479-754-3357 Fax: 479-754-0167 | |
John F Rommel Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 S Rogers St, Clarksville, AR 72830 Phone: 479-754-6424 Fax: 479-754-5673 | |
Riverbend Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 S Rogers St, Clarksville, AR 72830 Phone: 479-754-6084 | |
Kerry Carlson Dds,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 W Main St Ste A, Clarksville, AR 72830 Phone: 479-754-2042 Fax: 479-754-2429 | |
Marty J. Harderson, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 E Main St, Clarksville, AR 72830 Phone: 479-754-4076 Fax: 479-754-4078 | |
Robert P. Smith, D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Cravens St, Clarksville, AR 72830 Phone: 479-754-3230 Fax: 479-754-3030 |