Van Buren Family Dentistry | |
617 Fayetteville Rd Van Buren AR 72956-3418 | |
(479) 474-9696 | |
Not Available |
Full Name | Van Buren Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 617 Fayetteville Rd, Van Buren, Arkansas |
Authorized Official Name and Position | Hannah Fish (CREDENTIALING MANAGER) |
Authorized Official Contact | 2175405699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Van Buren Family Dentistry 617 Fayetteville Rd Van Buren AR 72956-3418 Ph: (479) 474-9696 | Van Buren Family Dentistry 617 Fayetteville Rd Van Buren AR 72956-3418 Ph: (479) 474-9696 |
NPI Number | 1396803722 |
---|---|
Provider Enumeration Date | 12/05/2006 |
Last Update Date | 10/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396803722 | NPI | - | NPPES |
161559608 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3370 (Arkansas) | Primary |
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