Gravette Dental Associates Pllc | |
1102 Jackson St Sw Gravette AR 72736-9121 | |
(479) 736-2800 | |
Not Available |
Full Name | Gravette Dental Associates Pllc |
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Speciality | Clinic/center - Dental |
Location | 1102 Jackson St Sw, Gravette, Arkansas |
Authorized Official Name and Position | Alan Lee Lamb (OWNER) |
Authorized Official Contact | 4797362800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gravette Dental Associates Pllc Po Box 125 Gravette AR 72736-0125 Ph: (479) 736-2800 | Gravette Dental Associates Pllc 1102 Jackson St Sw Gravette AR 72736-9121 Ph: (479) 736-2800 |
NPI Number | 1386129955 |
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Provider Enumeration Date | 09/30/2018 |
Last Update Date | 09/30/2018 |
Identifier | Type | State | Issuer |
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1386129955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Gravette Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 1st Ave Sw, Gravette, AR 72736 Phone: 405-930-4100 | |
Hayden L. Huett Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Main St Se, Gravette, AR 72736 Phone: 479-787-6671 |