| White & Blansett Periodontics & Dental Implants | |
|
201 N 34th St Rogers AR 72756-0352 | |
| (479) 631-6074 | |
| (479) 936-8660 |
| Full Name | White & Blansett Periodontics & Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 201 N 34th St, Rogers, Arkansas |
| Authorized Official Name and Position | Jonathan Andrew Blansett (PERIODONTIST) |
| Authorized Official Contact | 4796316074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White & Blansett Periodontics & Dental Implants 201 N 34th St Rogers AR 72756-0352 Ph: (479) 631-6074 | White & Blansett Periodontics & Dental Implants 201 N 34th St Rogers AR 72756-0352 Ph: (479) 631-6074 |
| NPI Number | 1154793982 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154793982 | NPI | - | NPPES |
| 1376821181 | Other | AR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3958 (Arkansas) | Primary |
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