| J Cole White Dds Pa | |
|
2868 W Martin Luther King Blvd Fayetteville AR 72704-7625 | |
| (479) 249-8181 | |
| Not Available |
| Full Name | J Cole White Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2868 W Martin Luther King Blvd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Justin White (OWNER) |
| Authorized Official Contact | 4792702878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Cole White Dds Pa 2868 W Martin Luther King Blvd Fayetteville AR 72704-7625 Ph: () - | J Cole White Dds Pa 2868 W Martin Luther King Blvd Fayetteville AR 72704-7625 Ph: (479) 249-8181 |
| NPI Number | 1528545258 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528545258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3780 (Arkansas) | Primary |
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