| Community Clinic Rogers Dental | |
|
3710 Southern Hills Blvd Ste 700 Rogers AR 72758-8094 | |
| (479) 936-8600 | |
| Not Available |
| Full Name | Community Clinic Rogers Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3710 Southern Hills Blvd Ste 700, Rogers, Arkansas |
| Authorized Official Name and Position | James Semingson (CEO) |
| Authorized Official Contact | 4797517417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic Rogers Dental 3710 Southern Hills Blvd Ste 700 Rogers AR 72758-8094 Ph: (479) 936-8600 | Community Clinic Rogers Dental 3710 Southern Hills Blvd Ste 700 Rogers AR 72758-8094 Ph: (479) 936-8600 |
| NPI Number | 1891980405 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891980405 | NPI | - | NPPES |
| 162265631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Shawn M. Lee Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 N 20th Pl, Rogers, AR 72756 Phone: 479-636-8000 | |
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