| Arkansas Dentistry And Braces | |
|
4375 N Vantage Dr Suite 202 Fayetteville AR 72703-4982 | |
| (870) 972-8294 | |
| (870) 735-7853 |
| Full Name | Arkansas Dentistry And Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4375 N Vantage Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Benjamin G Burris (OWNER) |
| Authorized Official Contact | 8709728294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Dentistry And Braces 126 W Bond Ave West Memphis AR 72301-3909 Ph: (870) 972-8294 | Arkansas Dentistry And Braces 4375 N Vantage Dr Suite 202 Fayetteville AR 72703-4982 Ph: (870) 972-8294 |
| NPI Number | 1487095139 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487095139 | NPI | - | NPPES |
| 190787631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3465 (Arkansas) | Primary |
Daniel J Fish Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr Ste 8, Fayetteville, AR 72703 Phone: 479-409-5097 | |
Darrin Storms D.d.s., C.a.g.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4102 N Mall Ave Ste 101, Fayetteville, AR 72703 Phone: 479-521-8887 Fax: 479-521-8889 | |
Northwest Arkansas Periodontal Associates, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 N Green Acres Rd, Fayetteville, AR 72703 Phone: 479-521-6400 Fax: 479-521-0164 | |
Arkansas Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3782 N Front St, Suite 1, Fayetteville, AR 72703 Phone: 479-443-1705 Fax: 479-443-1586 | |
John L Garlinghouse D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-521-0004 Fax: 479-443-6542 | |
Wedington Court Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1188 N Salem Rd, Ste 10, Fayetteville, AR 72704 Phone: 479-527-0707 | |
Corey Inboden Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 N Church Ave, Fayetteville, AR 72701 Phone: 479-442-6512 |