| Maxsurge Dental Specialist Pllc | |
|
520 N Pine St Harrison AR 72601-3442 | |
| (870) 741-3877 | |
| (870) 741-2406 |
| Full Name | Maxsurge Dental Specialist Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 520 N Pine St, Harrison, Arkansas |
| Authorized Official Name and Position | Scott L Bolding (OWNER) |
| Authorized Official Contact | 4797171171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxsurge Dental Specialist Pllc Po Box 1481 Searcy AR 72145-1481 Ph: (479) 717-1171 | Maxsurge Dental Specialist Pllc 520 N Pine St Harrison AR 72601-3442 Ph: (870) 741-3877 |
| NPI Number | 1205255403 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 04/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205255403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3025 (Arkansas) | Primary |
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