River Dental Siloam Springs, Pllc | |
3105 Highway 412 E Siloam Springs AR 72761-8635 | |
(479) 250-0949 | |
Not Available |
Full Name | River Dental Siloam Springs, Pllc |
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Speciality | Clinic/center - Dental |
Location | 3105 Highway 412 E, Siloam Springs, Arkansas |
Authorized Official Name and Position | Creed Cardon (OWNER) |
Authorized Official Contact | 9189980996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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River Dental Siloam Springs, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | River Dental Siloam Springs, Pllc 3105 Highway 412 E Siloam Springs AR 72761-8635 Ph: (479) 250-0949 |
NPI Number | 1942807144 |
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Provider Enumeration Date | 10/01/2020 |
Last Update Date | 10/01/2020 |
Identifier | Type | State | Issuer |
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1942807144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Larry Vandyck Dds Holly Street Dentistry,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-0333 Fax: 479-524-0378 | |
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