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611 Jefferson St Van Buren AR 72956-5159 | |
| (479) 474-2701 | |
| (479) 474-2701 |
| Full Name | |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 611 Jefferson St, Van Buren, Arkansas |
| Authorized Official Name and Position | Nicholas Grote (OWNER/DENTIST) |
| Authorized Official Contact | 4798066556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
611 Jefferson St Van Buren AR 72956-5159 Ph: (479) 474-2701 | 611 Jefferson St Van Buren AR 72956-5159 Ph: (479) 474-2701 |
| NPI Number | 1801317375 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801317375 | NPI | - | NPPES |
| 200268608 | Medicaid | AR | |
| 201489631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 3881 (Arkansas) | Primary |
Billy C Criswell Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 East Main Street, Van Buren, AR 72956 Phone: 479-474-7076 Fax: 479-471-1868 | |
Mobilecare Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2729 Rudy Rd, Van Buren, AR 72956 Phone: 479-471-1677 | |
River Dental Van Buren Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Fayetteville Rd Ste B, Van Buren, AR 72956 Phone: 918-998-0996 | |
Nick Grote Family Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Jefferson St, Van Buren, AR 72956 Phone: 479-474-2701 Fax: 479-474-3977 |