Bradley R Crossfield Dds Pllc | |
880 East Centerton Blvd Suite A Centerton AR 72719 | |
(501) 951-0031 | |
Not Available |
Full Name | Bradley R Crossfield Dds Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 880 East Centerton Blvd, Centerton, Arkansas |
Authorized Official Name and Position | Bradley Ray Crossfield (OWNER, MANAGER) |
Authorized Official Contact | 5019510031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bradley R Crossfield Dds Pllc Po Box 677 Centerton AR 72719-0677 Ph: (501) 951-0031 | Bradley R Crossfield Dds Pllc 880 East Centerton Blvd Suite A Centerton AR 72719 Ph: (501) 951-0031 |
NPI Number | 1134733876 |
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Provider Enumeration Date | 09/01/2020 |
Last Update Date | 09/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134733876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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