| Oral Surgery Center Inc | |
|
600 Lexington Avenue Fort Smith AR 72901-4737 | |
| (479) 434-4430 | |
| (479) 434-4438 |
| Full Name | Oral Surgery Center Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 600 Lexington Avenue, Fort Smith, Arkansas |
| Authorized Official Name and Position | Rocky Don Cullens (PRESIDENT) |
| Authorized Official Contact | 4794344430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Center Inc 600 Lexington Avenue Fort Smith AR 72901-4737 Ph: (479) 434-4430 | Oral Surgery Center Inc 600 Lexington Avenue Fort Smith AR 72901-4737 Ph: (479) 434-4430 |
| NPI Number | 1285826933 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285826933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3583 (Arkansas) | Primary |
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