| Charles G. Liggett, Jr. Dds, Pllc | |
|
5111 Rogers Ave Suite 207 Fort Smith AR 72903-2047 | |
| (479) 719-0753 | |
| Not Available |
| Full Name | Charles G. Liggett, Jr. Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5111 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Charles Gregory Liggett (OWNER) |
| Authorized Official Contact | 4797190753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles G. Liggett, Jr. Dds, Pllc 3200 Rogers Ave Suite 111 Fort Smith AR 72903-2954 Ph: (479) 782-0080 | Charles G. Liggett, Jr. Dds, Pllc 5111 Rogers Ave Suite 207 Fort Smith AR 72903-2047 Ph: (479) 719-0753 |
| NPI Number | 1083869911 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083869911 | NPI | - | NPPES |
| 152884608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3478 (Arkansas) | Primary |
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