| D&m Dentistry, Llc | |
|
810 N Fourche Ave Perryville AR 72126-8546 | |
| (501) 977-3393 | |
| Not Available |
| Full Name | D&m Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 N Fourche Ave, Perryville, Arkansas |
| Authorized Official Name and Position | Zachary Randall Dixon (OWNER/DDS) |
| Authorized Official Contact | 5019773393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D&m Dentistry, Llc 810 N Fourche Ave Perryville AR 72126-8546 Ph: (501) 977-3393 | D&m Dentistry, Llc 810 N Fourche Ave Perryville AR 72126-8546 Ph: (501) 977-3393 |
| NPI Number | 1780153247 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780153247 | NPI | - | NPPES |
| 187603608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |