| Ronnie L Faulkner, Dds, Pa | |
|
138 Highway 270 E Mount Ida AR 71957-9409 | |
| (870) 867-3432 | |
| (870) 867-3783 |
| Full Name | Ronnie L Faulkner, Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 138 Highway 270 E, Mount Ida, Arkansas |
| Authorized Official Name and Position | Ronnie Lee Faulkner (PRESIDE) |
| Authorized Official Contact | 5012763432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronnie L Faulkner, Dds, Pa Po Box 901 Mount Ida AR 71957-0901 Ph: (870) 867-3432 | Ronnie L Faulkner, Dds, Pa 138 Highway 270 E Mount Ida AR 71957-9409 Ph: (870) 867-3432 |
| NPI Number | 1912500364 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912500364 | NPI | - | NPPES |
| 111161608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Montgomery County Community Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 | |
D Michael Deruyter D D S Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3447 Highway 270 E, Mount Ida, AR 71957 Phone: 870-867-4110 Fax: 870-867-2207 |