Saline County Children's Dentistry | |
2305 Springhill Rd Suite 1 Benton AR 72019-7552 | |
(501) 847-7070 | |
Not Available |
Full Name | Saline County Children's Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2305 Springhill Rd, Benton, Arkansas |
Authorized Official Name and Position | Derek Thomas Marks (OWNER OPERATOR) |
Authorized Official Contact | 5018477070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Saline County Children's Dentistry 2305 Springhill Rd Suite 1 Benton AR 72019-7552 Ph: (501) 847-7070 | Saline County Children's Dentistry 2305 Springhill Rd Suite 1 Benton AR 72019-7552 Ph: (501) 847-7070 |
NPI Number | 1366639585 |
---|---|
Provider Enumeration Date | 10/02/2007 |
Last Update Date | 10/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366639585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 3619 (Arkansas) | Primary |
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