Lafayette County Dental Clinic, Inc. | |
506 Thomas St Stamps AR 71860-2540 | |
(202) 276-6329 | |
Not Available |
Full Name | Lafayette County Dental Clinic, Inc. |
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Speciality | Clinic/center - Dental |
Location | 506 Thomas St, Stamps, Arkansas |
Authorized Official Name and Position | Giles Willis (PRESIDENT) |
Authorized Official Contact | 2022766329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lafayette County Dental Clinic, Inc. 506 Thomas St Stamps AR 71860-2540 Ph: (202) 276-6329 | Lafayette County Dental Clinic, Inc. 506 Thomas St Stamps AR 71860-2540 Ph: (202) 276-6329 |
NPI Number | 1477148542 |
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Provider Enumeration Date | 03/01/2021 |
Last Update Date | 03/01/2021 |
Identifier | Type | State | Issuer |
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1477148542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |