Ft Mcdonald Dds Ltd | |
3900 S Olive St Pine Bluff AR 71603-6745 | |
(870) 536-6430 | |
Not Available |
Full Name | Ft Mcdonald Dds Ltd |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3900 S Olive St, Pine Bluff, Arkansas |
Authorized Official Name and Position | Fred Mcdonald (PRESIDENT) |
Authorized Official Contact | 8705366430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ft Mcdonald Dds Ltd 3900 S Olive St Pine Bluff AR 71603-6745 Ph: (879) 036-6430 | Ft Mcdonald Dds Ltd 3900 S Olive St Pine Bluff AR 71603-6745 Ph: (870) 536-6430 |
NPI Number | 1194866418 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194866418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1983 (Arkansas) | Primary |
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