Main Street Dental Gps, Pllc | |
312 S Main St Bentonville AR 72712-5903 | |
(479) 254-6899 | |
Not Available |
Full Name | Main Street Dental Gps, Pllc |
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Speciality | Clinic/center - Dental |
Location | 312 S Main St, Bentonville, Arkansas |
Authorized Official Name and Position | William R Little (CO-OWNER) |
Authorized Official Contact | 8702434406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Dental Gps, Pllc 100 E Huntington Ave Ste E Jonesboro AR 72401-2900 Ph: (870) 243-4406 | Main Street Dental Gps, Pllc 312 S Main St Bentonville AR 72712-5903 Ph: (479) 254-6899 |
NPI Number | 1386268696 |
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Provider Enumeration Date | 06/02/2020 |
Last Update Date | 06/02/2020 |
Identifier | Type | State | Issuer |
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1386268696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Steven D. Kimbrough Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Se 14th St., Bentonville, AR 72712 Phone: 479-271-2299 | |
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