| Joseph G. Bussell, Dds, Pa | |
|
6020 Ranch Dr Suite C6 Little Rock AR 72223-4621 | |
| (501) 868-1300 | |
| (501) 868-1327 |
| Full Name | Joseph G. Bussell, Dds, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 6020 Ranch Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Joseph Glenn Bussell (OWNER/PRES.) |
| Authorized Official Contact | 5018681300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph G. Bussell, Dds, Pa 6020 Ranch Dr Suite C6 Little Rock AR 72223-4621 Ph: (501) 868-1300 | Joseph G. Bussell, Dds, Pa 6020 Ranch Dr Suite C6 Little Rock AR 72223-4621 Ph: (501) 868-1300 |
| NPI Number | 1386974921 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 01/04/2010 |
| Medicare PECOS PAC ID | 5193981520 |
|---|---|
| Medicare Enrollment ID | O20160427000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386974921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2839 (Arkansas) | Primary |
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