| Gavin Trogdon Dds Pa | |
|
181 W Main St Farmington AR 72730-2945 | |
| (479) 267-5009 | |
| (479) 267-5029 |
| Full Name | Gavin Trogdon Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 181 W Main St, Farmington, Arkansas |
| Authorized Official Name and Position | Gavin Trogdon (OWNER/DENTIST) |
| Authorized Official Contact | 4792675009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Trogdon Dds Pa 181 W Main St Farmington AR 72730-2945 Ph: (479) 267-5009 | Gavin Trogdon Dds Pa 181 W Main St Farmington AR 72730-2945 Ph: (479) 267-5009 |
| NPI Number | 1386041549 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386041549 | NPI | - | NPPES |
| 198735608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3959 (Arkansas) | Primary |
Dental Implant & Smile Professionals, John C. Bain, Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Southwinds Rd, Farmington, AR 72730 Phone: 479-267-4900 | |
River Dental Farmington, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Southwinds Rd, Farmington, AR 72730 Phone: 479-267-2266 Fax: 479-267-4480 | |
Tiffani A, Long Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 W Main St, Farmington, AR 72730 Phone: 479-267-5009 Fax: 479-267-5029 |