David R. Kernodle, D.d.s.,p.c. | |
715 W Sherman Ave Suite H Harrison AR 72601-2743 | |
(870) 741-6726 | |
(870) 741-0164 |
Full Name | David R. Kernodle, D.d.s.,p.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 715 W Sherman Ave, Harrison, Arkansas |
Authorized Official Name and Position | David Ray Kernodle (PRESIDENT) |
Authorized Official Contact | 8707416726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David R. Kernodle, D.d.s.,p.c. 715 W Sherman Ave Suite H Harrison AR 72601-2743 Ph: (870) 741-6726 | David R. Kernodle, D.d.s.,p.c. 715 W Sherman Ave Suite H Harrison AR 72601-2743 Ph: (870) 741-6726 |
NPI Number | 1598879264 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598879264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1904 (Arkansas) | Primary |
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