| Paul D Fitzgerald, Dds | |
|
209 W Holly St Sheridan AR 72150-2425 | |
| (870) 942-2822 | |
| (870) 942-5816 |
| Full Name | Paul D Fitzgerald, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 W Holly St, Sheridan, Arkansas |
| Authorized Official Name and Position | Paul D Fitzgerald (DDS) |
| Authorized Official Contact | 8709422822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul D Fitzgerald, Dds Po Box 116 Sheridan AR 72150-0116 Ph: (870) 942-2822 | Paul D Fitzgerald, Dds 209 W Holly St Sheridan AR 72150-2425 Ph: (870) 942-2822 |
| NPI Number | 1750604070 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750604070 | NPI | - | NPPES |
| 180074631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1701 (Arkansas) | Primary |
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Smile Center Of Sheridan, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 S Rock St Ste B, Sheridan, AR 72150 Phone: 870-942-2020 | |
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Paul D Fitzgerald, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W Holly St, Sheridan, AR 72150 Phone: 870-942-2822 Fax: 870-942-5816 | |
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