Ethan Erwin Dds Pllc | |
102 Ridgeway St Hot Springs AR 71901-7100 | |
(501) 624-7129 | |
Not Available |
Full Name | Ethan Erwin Dds Pllc |
---|---|
Speciality | Dentist |
Location | 102 Ridgeway St, Hot Springs, Arkansas |
Authorized Official Name and Position | Ethan Erwin (OWNER) |
Authorized Official Contact | 5012821098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ethan Erwin Dds Pllc 102 Ridgeway St Hot Springs AR 71901-7100 Ph: (501) 624-7129 | Ethan Erwin Dds Pllc 102 Ridgeway St Hot Springs AR 71901-7100 Ph: (501) 624-7129 |
NPI Number | 1568038305 |
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Provider Enumeration Date | 06/02/2021 |
Last Update Date | 06/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568038305 | NPI | - | NPPES |
240820608 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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