Family Dental Associates | |
1703 S Whitehead Dr Dewitt AR 72042 | |
(870) 946-2013 | |
(870) 946-1281 |
Full Name | Family Dental Associates |
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Speciality | Dentist - General Practice |
Location | 1703 S Whitehead Dr, Dewitt, Arkansas |
Authorized Official Name and Position | Randall S Hestir (OWNER) |
Authorized Official Contact | 8709462013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Associates Po Drawer 512 1703 S Whitehead Dr Dewitt AR 72042 Ph: (870) 946-2013 | Family Dental Associates 1703 S Whitehead Dr Dewitt AR 72042 Ph: (870) 946-2013 |
NPI Number | 1770796401 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 06/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770796401 | NPI | - | NPPES |
100922608 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2266 (Missouri) | Primary |