| Corey Inboden Dds, Pllc | |
|
179 N Church Ave Fayetteville AR 72701-5265 | |
| (479) 442-6512 | |
| Not Available |
| Full Name | Corey Inboden Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 179 N Church Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | William Corey Inboden (PRESIDENT) |
| Authorized Official Contact | 8702194046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Inboden Dds, Pllc 2350 E Golden Oaks Dr Fayetteville AR 72703-3152 Ph: (870) 219-4046 | Corey Inboden Dds, Pllc 179 N Church Ave Fayetteville AR 72701-5265 Ph: (479) 442-6512 |
| NPI Number | 1114638640 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114638640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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