| Family Dentistry | |
|
701 C 7th Street Mena AR 71953 | |
| (479) 394-5666 | |
| (479) 996-6536 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 C 7th Street, Mena, Arkansas |
| Authorized Official Name and Position | Terrell Wayne Bailey (OWNER) |
| Authorized Official Contact | 4793945666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 701 C 7th Street Mena AR 71953 Ph: (479) 394-5666 | Family Dentistry 701 C 7th Street Mena AR 71953 Ph: (479) 394-5666 |
| NPI Number | 1710101548 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710101548 | NPI | - | NPPES |
| 610535 | Other | PA | UNITED CONCORDIA |
| 884517 | Other | AR | BCBS |
| 58213 | Other | AR | BCBS FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2864 (Arkansas) | Primary |
Healthy Connections Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Health Park Dr, Mena, AR 71953 Phone: 479-437-3449 Fax: 479-243-0285 |