| Ricky L Price Dds Pa | |
|
311 Merriman Ave E Wynne AR 72396-2945 | |
| (870) 238-9190 | |
| Not Available |
| Full Name | Ricky L Price Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 311 Merriman Ave E, Wynne, Arkansas |
| Authorized Official Name and Position | Ricky Price (OWNER) |
| Authorized Official Contact | 8702389190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky L Price Dds Pa 311 Merriman Ave E Wynne AR 72396-2945 Ph: (870) 238-9190 | Ricky L Price Dds Pa 311 Merriman Ave E Wynne AR 72396-2945 Ph: (870) 238-9190 |
| NPI Number | 1073527990 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073527990 | NPI | - | NPPES |
| 110222 | Other | AR | UNITED CONCORDIA |
| 58029 | Other | AR | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2801 (Arkansas) | Primary |
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Puryear & Jackson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 East Eldrdige Avenue, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
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