Gairhan Dental Care | |
460 Southwest Dr Ste B Jonesboro AR 72401-5855 | |
(870) 931-1100 | |
(870) 931-1101 |
Full Name | Gairhan Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 460 Southwest Dr Ste B, Jonesboro, Arkansas |
Authorized Official Name and Position | Emily Ballard Gairhan (PRESIDENT) |
Authorized Official Contact | 8709311100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gairhan Dental Care 460 Southwest Dr Ste B Jonesboro AR 72401-5855 Ph: (870) 931-1100 | Gairhan Dental Care 460 Southwest Dr Ste B Jonesboro AR 72401-5855 Ph: (870) 931-1100 |
NPI Number | 1053637637 |
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Provider Enumeration Date | 04/08/2010 |
Last Update Date | 04/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053637637 | NPI | - | NPPES |
1841428117 | Other | TYPE 1 NPI | |
179731608 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3709 (Arkansas) | Primary |
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