Ridge Kids Dental | |
624 W Court St Suite A Paragould AR 72450-4247 | |
(870) 236-5888 | |
(870) 236-6888 |
Full Name | Ridge Kids Dental |
---|---|
Speciality | Dentist |
Location | 624 W Court St, Paragould, Arkansas |
Authorized Official Name and Position | John Hartley Puckett (OWNER) |
Authorized Official Contact | 8702365888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ridge Kids Dental Po Box 1209 Paragould AR 72451-1209 Ph: (870) 236-5888 | Ridge Kids Dental 624 W Court St Suite A Paragould AR 72450-4247 Ph: (870) 236-5888 |
NPI Number | 1669608741 |
---|---|
Provider Enumeration Date | 06/03/2009 |
Last Update Date | 03/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669608741 | NPI | - | NPPES |
176117631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3406 (Arkansas) | Primary |
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› Verified 8 days ago
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