| Van Buren Family Dentistry | |
|
617 Fayetteville Rd Van Buren AR 72956-3418 | |
| (479) 474-9696 | |
| Not Available |
| Full Name | Van Buren Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 617 Fayetteville Rd, Van Buren, Arkansas |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Buren Family Dentistry 617 Fayetteville Rd Van Buren AR 72956-3418 Ph: (479) 474-9696 | Van Buren Family Dentistry 617 Fayetteville Rd Van Buren AR 72956-3418 Ph: (479) 474-9696 |
| NPI Number | 1396803722 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396803722 | NPI | - | NPPES |
| 161559608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3370 (Arkansas) | Primary |
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