| Brad H Green Dds Pa | |
|
401 E Buchanan Prairie Grove AR 72753 | |
| (479) 846-1005 | |
| Not Available |
| Full Name | Brad H Green Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 E Buchanan, Prairie Grove, Arkansas |
| Authorized Official Name and Position | Brad Green (PRESIDENT) |
| Authorized Official Contact | 4798461005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad H Green Dds Pa 101 S Pittman St Po Box 288 Prairie Grove AR 72753-3247 Ph: (479) 846-1005 | Brad H Green Dds Pa 401 E Buchanan Prairie Grove AR 72753 Ph: (479) 846-1005 |
| NPI Number | 1457548935 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3578 (Arkansas) | Primary |
John Pardo, Dds , Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Buchanan St, Prairie Grove, AR 72753 Phone: 479-846-1005 | |
Prairie Grove Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 E Heritage Pkwy, Prairie Grove, AR 72753 Phone: 479-244-2052 Fax: 479-846-1940 |