| Jeffrey C. Fusilier, Dds Pa | |
|
101 Dentista Dr Hot Springs Village AR 71909-3503 | |
| (501) 922-6700 | |
| Not Available |
| Full Name | Jeffrey C. Fusilier, Dds Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Dentista Dr, Hot Springs Village, Arkansas |
| Authorized Official Name and Position | Jeff Fusilier (PRESIDENT) |
| Authorized Official Contact | 5019226700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Fusilier, Dds Pa 101 Dentista Dr Hot Springs Village AR 71909-3503 Ph: (501) 922-6700 | Jeffrey C. Fusilier, Dds Pa 101 Dentista Dr Hot Springs Village AR 71909-3503 Ph: (501) 922-6700 |
| NPI Number | 1811051949 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/12/2015 |
| Medicare PECOS PAC ID | 2466766282 |
|---|---|
| Medicare Enrollment ID | O20150806010851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811051949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2947 (Arkansas) | Primary |
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