| |
501 N 6th St Blytheville AR 72315-2407 | |
(780) 763-2100 | |
(870) 762-5383 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 501 N 6th St, Blytheville, Arkansas |
Authorized Official Name and Position | Gray Hodge (DENTIST) |
Authorized Official Contact | 8707632100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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501 N 6th St Blytheville AR 72315-2407 Ph: (780) 763-2100 | 501 N 6th St Blytheville AR 72315-2407 Ph: (780) 763-2100 |
NPI Number | 1881114478 |
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Provider Enumeration Date | 06/23/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881114478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1226 (Arkansas) | Primary |
Joshua R Toney Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 W Main St, Blytheville, AR 72315 Phone: 870-763-1000 Fax: 870-763-1110 | |
Dr. Michael Williams D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 N 2nd St, Blytheville, AR 72315 Phone: 870-763-8323 Fax: 870-762-5267 | |
Van O. Parker Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Lumerate St, Blytheville, AR 72315 Phone: 870-780-6469 |