Southern Dental Of Fort Smith Pllc | |
4208 Jenny Lind Rd Fort Smith AR 72901-7660 | |
(479) 782-3400 | |
Not Available |
Full Name | Southern Dental Of Fort Smith Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 4208 Jenny Lind Rd, Fort Smith, Arkansas |
Authorized Official Name and Position | William Reynolds Little (OWNER) |
Authorized Official Contact | 8702434406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Dental Of Fort Smith Pllc 100 E Huntington Ave Ste E Jonesboro AR 72401-2900 Ph: (870) 243-4406 | Southern Dental Of Fort Smith Pllc 4208 Jenny Lind Rd Fort Smith AR 72901-7660 Ph: (479) 782-3400 |
NPI Number | 1003302761 |
---|---|
Provider Enumeration Date | 07/06/2018 |
Last Update Date | 07/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003302761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3930 (Arkansas) | Primary |
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› Verified 6 days ago
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