Half Moon Oral Surgery | |
1500 W Main St Russellville AR 72801-2820 | |
(479) 202-8666 | |
(844) 315-4115 |
Full Name | Half Moon Oral Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1500 W Main St, Russellville, Arkansas |
Authorized Official Name and Position | Thomas A Sarna (OWNER/ORAL SURGEON) |
Authorized Official Contact | 4792028666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Half Moon Oral Surgery 2025 N Green Acres Rd Fayetteville AR 72703-2619 Ph: (479) 202-8666 | Half Moon Oral Surgery 1500 W Main St Russellville AR 72801-2820 Ph: (479) 202-8666 |
NPI Number | 1548717358 |
---|---|
Provider Enumeration Date | 09/09/2016 |
Last Update Date | 09/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548717358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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› Verified 7 days ago
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