| Chicot Memorial Medical Center Dental Clinic | |
|
2729 S. Hwy 65 82 Lake Village AR 71653 | |
| (870) 265-5351 | |
| Not Available |
| Full Name | Chicot Memorial Medical Center Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2729 S. Hwy 65 82, Lake Village, Arkansas |
| Authorized Official Name and Position | Susan Vaughn (CFO) |
| Authorized Official Contact | 8702659229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicot Memorial Medical Center Dental Clinic 2729 S Highway 65 82 Lake Village AR 71653-6136 Ph: () - | Chicot Memorial Medical Center Dental Clinic 2729 S. Hwy 65 82 Lake Village AR 71653 Ph: (870) 265-5351 |
| NPI Number | 1861901985 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861901985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Lakeside School Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 A Hwy 82, Lake Village, AR 71653 Phone: 870-201-2127 Fax: 888-671-8943 |