Warren Dental, Pllc | |
390 Factory Rd Suite A Clinton AR 72031-6742 | |
(501) 745-4656 | |
(501) 745-6317 |
Full Name | Warren Dental, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 390 Factory Rd, Clinton, Arkansas |
Authorized Official Name and Position | Darryl W. Warren (OWNER) |
Authorized Official Contact | 5017454656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Warren Dental, Pllc 390 Factory Rd Suite A Clinton AR 72031-6742 Ph: (501) 745-4656 | Warren Dental, Pllc 390 Factory Rd Suite A Clinton AR 72031-6742 Ph: (501) 745-4656 |
NPI Number | 1518085620 |
---|---|
Provider Enumeration Date | 03/27/2007 |
Last Update Date | 02/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518085620 | NPI | - | NPPES |
187471631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2140 (Arkansas) | Secondary |
1223G0001X | Dentist - General Practice | 3528 (Arkansas) | Primary |
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