| Owl Creek School Based Health Center Dental | |
|
375 N Rupple Rd Fayetteville AR 72704-6110 | |
| (479) 751-7417 | |
| (479) 751-4898 |
| Full Name | Owl Creek School Based Health Center Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 375 N Rupple Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Kathy Grisham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4797517417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owl Creek School Based Health Center Dental 614 E Emma Ave Suite 300 Springdale AR 72764-4634 Ph: (479) 751-7417 | Owl Creek School Based Health Center Dental 375 N Rupple Rd Fayetteville AR 72704-6110 Ph: (479) 751-7417 |
| NPI Number | 1669741625 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669741625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Daniel J Fish Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr Ste 8, Fayetteville, AR 72703 Phone: 479-409-5097 | |
Darrin Storms D.d.s., C.a.g.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4102 N Mall Ave Ste 101, Fayetteville, AR 72703 Phone: 479-521-8887 Fax: 479-521-8889 | |
Northwest Arkansas Periodontal Associates, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 N Green Acres Rd, Fayetteville, AR 72703 Phone: 479-521-6400 Fax: 479-521-0164 | |
Arkansas Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3782 N Front St, Suite 1, Fayetteville, AR 72703 Phone: 479-443-1705 Fax: 479-443-1586 | |
John L Garlinghouse D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-521-0004 Fax: 479-443-6542 | |
Wedington Court Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1188 N Salem Rd, Ste 10, Fayetteville, AR 72704 Phone: 479-527-0707 | |
Corey Inboden Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 N Church Ave, Fayetteville, AR 72701 Phone: 479-442-6512 |