Grote Family Dental | |
611 Jefferson St Van Buren AR 72956-5159 | |
(479) 474-2701 | |
(479) 474-2701 |
Full Name | Grote Family Dental |
---|---|
Speciality | Dentist - Dental Public Health |
Location | 611 Jefferson St, Van Buren, Arkansas |
Authorized Official Name and Position | Nicholas Grote (OWNER/DENTIST) |
Authorized Official Contact | 4798066556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grote Family Dental 611 Jefferson St Van Buren AR 72956-5159 Ph: (479) 474-2701 | Grote Family Dental 611 Jefferson St Van Buren AR 72956-5159 Ph: (479) 474-2701 |
NPI Number | 1801317375 |
---|---|
Provider Enumeration Date | 07/05/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801317375 | NPI | - | NPPES |
200268608 | Medicaid | AR | |
201489631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | 3881 (Arkansas) | Primary |
News Archive
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