| Heritage Mobile Dental Care, Pllc | |
|
204 N Rhodes St West Memphis AR 72301-3944 | |
| (901) 359-0043 | |
| Not Available |
| Full Name | Heritage Mobile Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 204 N Rhodes St, West Memphis, Arkansas |
| Authorized Official Name and Position | Morris Goldstein (COO) |
| Authorized Official Contact | 9013590043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Mobile Dental Care, Pllc 2005 Grist Mill Rd Little Rock AR 72227-3808 Ph: (901) 359-0043 | Heritage Mobile Dental Care, Pllc 204 N Rhodes St West Memphis AR 72301-3944 Ph: (901) 359-0043 |
| NPI Number | 1215489885 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215489885 | NPI | - | NPPES |
| 211483631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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