| Le Western Dentistry, Pllc | |
|
16 Church St Charleston AR 72933-9190 | |
| (479) 965-2291 | |
| (479) 965-2292 |
| Full Name | Le Western Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16 Church St, Charleston, Arkansas |
| Authorized Official Name and Position | Cassi Lynn Work (CLINIC COORDINATOR) |
| Authorized Official Contact | 4797823005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Western Dentistry, Pllc Po Box 308 Charleston AR 72933-0308 Ph: (479) 965-2291 | Le Western Dentistry, Pllc 16 Church St Charleston AR 72933-9190 Ph: (479) 965-2291 |
| NPI Number | 1922569573 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922569573 | NPI | - | NPPES |
| 1154867893 | Other | AR | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |