| Dr. Kenneth Thompson D.d.s. | |
|
2701 Se G St Suite 9 Bentonville AR 72712-3740 | |
| (479) 273-5345 | |
| (479) 273-5335 |
| Full Name | Dr. Kenneth Thompson D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2701 Se G St, Bentonville, Arkansas |
| Authorized Official Name and Position | Kenneth R. Thompson (DENTIST/OWNER) |
| Authorized Official Contact | 4792735345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kenneth Thompson D.d.s. 2701 Se G St Suite 9 Bentonville AR 72712-3740 Ph: (479) 273-5345 | Dr. Kenneth Thompson D.d.s. 2701 Se G St Suite 9 Bentonville AR 72712-3740 Ph: (479) 273-5345 |
| NPI Number | 1124264965 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124264965 | NPI | - | NPPES |
| 101101608 | Medicaid | AR | |
| 1437286861 | Other | AR | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1888 (Arkansas) | Primary |
Arkansas Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Se Walton Blvd, Suite 10-12, Bentonville, AR 72712 Phone: 479-445-6335 Fax: 479-301-2878 | |
Steven D. Kimbrough Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Se 14th St., Bentonville, AR 72712 Phone: 479-271-2299 | |
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Walton Blvd Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Walton Blvd, Bentonville, AR 72712 Phone: 479-273-3757 Fax: 479-273-3758 | |
Pate Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 Se J St Suite 6, Bentonville, AR 72712 Phone: 479-254-8111 Fax: 479-254-8112 | |
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