| Amd Family Dentistry | |
|
306 N 6th St West Memphis AR 72301-3221 | |
| (870) 732-2107 | |
| Not Available |
| Full Name | Amd Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 306 N 6th St, West Memphis, Arkansas |
| Authorized Official Name and Position | Angela Davis (OWNER) |
| Authorized Official Contact | 8707322107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amd Family Dentistry Po Box 2225 West Memphis AR 72303-2225 Ph: (870) 732-2107 | Amd Family Dentistry 306 N 6th St West Memphis AR 72301-3221 Ph: (870) 732-2107 |
| NPI Number | 1346817921 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346817921 | NPI | - | NPPES |
| 160686608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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