| D Michael Deruyter D D S Inc | |
|
3447 Highway 270 E Mount Ida AR 71957-8092 | |
| (870) 867-4110 | |
| (870) 867-2207 |
| Full Name | D Michael Deruyter D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 3447 Highway 270 E, Mount Ida, Arkansas |
| Authorized Official Name and Position | David Michael Deruyter (PRESIDENT) |
| Authorized Official Contact | 8708674110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Michael Deruyter D D S Inc 3447 Highway 270 E Mount Ida AR 71957-8092 Ph: (870) 867-4110 | D Michael Deruyter D D S Inc 3447 Highway 270 E Mount Ida AR 71957-8092 Ph: (870) 867-4110 |
| NPI Number | 1932448032 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 02/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932448032 | NPI | - | NPPES |
| 181483608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Montgomery County Community Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 | |
Ronnie L Faulkner, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Highway 270 E, Mount Ida, AR 71957 Phone: 870-867-3432 Fax: 870-867-3783 |