| My Village Pediatric Dentistry | |
|
1909 E Central Ave Bentonville AR 72712-5601 | |
| (479) 273-9302 | |
| (479) 268-4630 |
| Full Name | My Village Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1909 E Central Ave, Bentonville, Arkansas |
| Authorized Official Name and Position | William Thomas Mahon (MANAGER AND SOLE MEMBER) |
| Authorized Official Contact | 4796199052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Village Pediatric Dentistry 1104 Poplar Pl Rogers AR 72756-4249 Ph: (479) 619-9052 | My Village Pediatric Dentistry 1909 E Central Ave Bentonville AR 72712-5601 Ph: (479) 273-9302 |
| NPI Number | 1992078125 |
|---|---|
| Provider Enumeration Date | 02/19/2012 |
| Last Update Date | 02/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992078125 | NPI | - | NPPES |
| 190167631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2401 (Arkansas) | Primary |
Arkansas Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Se Walton Blvd, Suite 10-12, Bentonville, AR 72712 Phone: 479-445-6335 Fax: 479-301-2878 | |
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 | |
Arkansas Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Se Walton Blvd, Suite 42, Bentonville, AR 72712 Phone: 479-271-9944 Fax: 479-271-9945 | |
Walton Blvd Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Walton Blvd, Bentonville, AR 72712 Phone: 479-273-3757 Fax: 479-273-3758 | |
Dr. Kenneth Thompson D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Se G St, Suite 9, Bentonville, AR 72712 Phone: 479-273-5345 Fax: 479-273-5335 | |
Pate Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 Se J St Suite 6, Bentonville, AR 72712 Phone: 479-254-8111 Fax: 479-254-8112 | |
Behrents Endodontics Specialists, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Se Plaza Ave Ste 2, Bentonville, AR 72712 Phone: 479-445-6884 |