Smile Shoppe Pediatric Dentistry | |
5518 Walsh Ln Rogers AR 72758-8947 | |
(479) 631-6377 | |
(479) 273-5967 |
Full Name | Smile Shoppe Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 5518 Walsh Ln, Rogers, Arkansas |
Authorized Official Name and Position | Jeffrey D Rhodes (PRESIDENT) |
Authorized Official Contact | 4796316377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Shoppe Pediatric Dentistry 5518 Walsh Ln Rogers AR 72758-8947 Ph: (479) 631-6377 | Smile Shoppe Pediatric Dentistry 5518 Walsh Ln Rogers AR 72758-8947 Ph: (479) 631-6377 |
NPI Number | 1033155411 |
---|---|
Provider Enumeration Date | 06/22/2006 |
Last Update Date | 01/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033155411 | NPI | - | NPPES |
159561631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 2924 (Arkansas) | Primary |
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