| Bold Dental Pottsville | |
|
7146 Sr 247 Pottsville AR 72858-8891 | |
| (479) 858-7382 | |
| Not Available |
| Full Name | Bold Dental Pottsville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7146 Sr 247, Pottsville, Arkansas |
| Authorized Official Name and Position | Wendy Peduto (TRANSITION MANAGER) |
| Authorized Official Contact | 5014360518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bold Dental Pottsville 7146 Sr 247 Pottsville AR 72858-8891 Ph: (479) 858-7382 | Bold Dental Pottsville 7146 Sr 247 Pottsville AR 72858-8891 Ph: (479) 858-7382 |
| NPI Number | 1164892352 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164892352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Arkansas) | Primary |
D. Blaine Leeds, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7146 Sr 247, Pottsville, AR 72858 Phone: 479-858-7382 Fax: 479-858-7323 |