| Ozark Pediatric Dentistry | |
|
2125 E Main St Suite #13 Siloam Springs AR 72761-5571 | |
| (479) 886-0591 | |
| Not Available |
| Full Name | Ozark Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2125 E Main St, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Matthew S Killingsworth (OWNER) |
| Authorized Official Contact | 4798860591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Pediatric Dentistry 2125 E Main St Suite #13 Siloam Springs AR 72761-5571 Ph: (479) 886-0591 | Ozark Pediatric Dentistry 2125 E Main St Suite #13 Siloam Springs AR 72761-5571 Ph: (479) 886-0591 |
| NPI Number | 1831621309 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831621309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3817 (Arkansas) | Primary |
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