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150 S Tulsa Ave Russellville AR 72801-4600 | |
| (479) 968-2100 | |
| (479) 968-2107 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 S Tulsa Ave, Russellville, Arkansas |
| Authorized Official Name and Position | Susan Mcadams Heinzen (OWNER/DENTIST) |
| Authorized Official Contact | 4799682100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
150 S Tulsa Ave Russellville AR 72801-4600 Ph: (479) 968-2100 | 150 S Tulsa Ave Russellville AR 72801-4600 Ph: (479) 968-2100 |
| NPI Number | 1407372279 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 08/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407372279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4149 (Arkansas) | Primary |
Drs Johnston & Richardson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 W C Pl, Russellville, AR 72801 Phone: 479-968-8338 Fax: 479-968-1688 | |
Richard L Morgan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 West C Place, Russellville, AR 72801 Phone: 479-968-1470 Fax: 479-968-7282 | |
Drs. Johnston & Lawrence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 W C Pl, Russellville, AR 72801 Phone: 479-968-8338 Fax: 479-968-1688 | |
Dr. Douglas A. Griffin D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Phoenix Ave, Russellville, AR 72801 Phone: 479-968-1655 |