| Carroll Family Dentistry Pllc | |
|
1202 Hwy 35 N Benton AR 72019-2328 | |
| (501) 776-0620 | |
| Not Available |
| Full Name | Carroll Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1202 Hwy 35 N, Benton, Arkansas |
| Authorized Official Name and Position | Ann Pevahouse (GENERAL DENIST) |
| Authorized Official Contact | 5017760620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Family Dentistry Pllc 1202 Hwy 35 N Benton AR 72019-2328 Ph: (501) 776-0620 | Carroll Family Dentistry Pllc 1202 Hwy 35 N Benton AR 72019-2328 Ph: (501) 776-0620 |
| NPI Number | 1598508178 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598508178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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