Ridge Dental Group Pllc | |
808 Highway 64 E Wynne AR 72396-7414 | |
(870) 238-2600 | |
Not Available |
Full Name | Ridge Dental Group Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 808 Highway 64 E, Wynne, Arkansas |
Authorized Official Name and Position | Kelli Ellen Vanhouten- Grubbs (PARTNER) |
Authorized Official Contact | 8702382600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ridge Dental Group Pllc 808 Highway 64 E Wynne AR 72396-7414 Ph: () - | Ridge Dental Group Pllc 808 Highway 64 E Wynne AR 72396-7414 Ph: (870) 238-2600 |
NPI Number | 1972263739 |
---|---|
Provider Enumeration Date | 12/21/2021 |
Last Update Date | 12/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972263739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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