| Daniel Bird D.d.s | |
|
203 S Avalon St West Memphis AR 72301-4172 | |
| (870) 732-2275 | |
| (870) 732-1350 |
| Full Name | Daniel Bird D.d.s |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 S Avalon St, West Memphis, Arkansas |
| Authorized Official Name and Position | Daniel Bird (DENTIST) |
| Authorized Official Contact | 8707322275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Bird D.d.s 203 S Avalon St West Memphis AR 72301-4172 Ph: (870) 732-2275 | Daniel Bird D.d.s 203 S Avalon St West Memphis AR 72301-4172 Ph: (870) 732-2275 |
| NPI Number | 1538419239 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 09/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538419239 | NPI | - | NPPES |
| 179108608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3437 (Arkansas) | Primary |
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