| Charles A Redmond Dds, Pa | |
|
4137 Jfk Blvd North Little Rock AR 72116-8264 | |
| (501) 753-5594 | |
| (501) 753-5880 |
| Full Name | Charles A Redmond Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4137 Jfk Blvd, North Little Rock, Arkansas |
| Authorized Official Name and Position | Charles A Redmond (PRESIDENT) |
| Authorized Official Contact | 5017535594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Redmond Dds, Pa 4137 Jfk Blvd North Little Rock AR 72116-8264 Ph: (501) 753-5594 | Charles A Redmond Dds, Pa 4137 Jfk Blvd North Little Rock AR 72116-8264 Ph: (501) 753-5594 |
| NPI Number | 1558597310 |
|---|---|
| Provider Enumeration Date | 06/08/2009 |
| Last Update Date | 06/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558597310 | NPI | - | NPPES |
| 159088608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2264 (Arkansas) | Primary |
Dr. Kerry Moon, D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Crestwood Rd Ste 201, North Little Rock, AR 72116 Phone: 501-758-5006 | |
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