| River Valley Oral & Maxillofacial Surgery Plc | |
|
2407 S Waldron Rd Fort Smith AR 72903-3736 | |
| (479) 484-1011 | |
| (479) 484-1205 |
| Full Name | River Valley Oral & Maxillofacial Surgery Plc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2407 S Waldron Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Gayle M. Freeman (OFFICE MANAGER) |
| Authorized Official Contact | 4794841011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Oral & Maxillofacial Surgery Plc 2407 S Waldron Rd Fort Smith AR 72903-3736 Ph: (479) 484-1011 | River Valley Oral & Maxillofacial Surgery Plc 2407 S Waldron Rd Fort Smith AR 72903-3736 Ph: (479) 484-1011 |
| NPI Number | 1548288244 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548288244 | NPI | - | NPPES |
| 000516007 | Other | UNITED CONCORDIA (IND-JR) | |
| 127322679 | Medicaid | AR | |
| 58111 | Other | AR | BLUE CROSS BLUE SHIELD |
| 100026580A | Medicaid | OK | |
| 000861460 | Other | UNITED CONCORDIA (GRP) | |
| 100174630A | Medicaid | OK | |
| 1871553958 | Other | INDIVIDUAL NPI | |
| 58041 | Other | AR | BLUE CROSS BLUE SHIELD |
| 000812852 | Other | UNITED CONCORDIA (IND-JB) | |
| 127321679 | Medicaid | AR | |
| 1629038708 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2226 (Arkansas) | Primary |
Southern Dental Of Fort Smith Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4208 Jenny Lind Rd, Fort Smith, AR 72901 Phone: 479-782-3400 | |
Bold Dental Partners, Pllc Ft. Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8309 Phoenix Ave, Fort Smith, AR 72903 Phone: 479-484-7645 Fax: 479-484-1551 | |
Charles G. Liggett, Jr. Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Rogers Ave, Suite 207, Fort Smith, AR 72903 Phone: 479-719-0753 | |
R & S Dental Services Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 Euper Ln, Suite B, Fort Smith, AR 72903 Phone: 479-650-3257 Fax: 479-478-6122 | |
Cole J. Johnson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 S 51st Ct, Fort Smith, AR 72903 Phone: 479-452-2995 | |
Kids Choice Fort Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd, Suite 200, Fort Smith, AR 72903 Phone: 479-452-8650 | |
Moore Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2913 South 74th Street, Fort Smith, AR 72903 Phone: 479-484-5050 Fax: 479-484-5052 |