Saline County Children's Dentistry | |
3310 Hwy 5 N Bryant AR 72019-9031 | |
(501) 847-7070 | |
Not Available |
Full Name | Saline County Children's Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3310 Hwy 5 N, Bryant, Arkansas |
Authorized Official Name and Position | Derek Thomas Marks (OWNER OPERATOR) |
Authorized Official Contact | 5018477070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Saline County Children's Dentistry 3310 Hwy 5 North Bryant AR 72019-7552 Ph: (501) 847-7070 | Saline County Children's Dentistry 3310 Hwy 5 N Bryant AR 72019-9031 Ph: (501) 847-7070 |
NPI Number | 1366639585 |
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Provider Enumeration Date | 10/02/2007 |
Last Update Date | 06/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366639585 | NPI | - | NPPES |
164860608 | Medicaid | AR | |
164914631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 3619 (Arkansas) | Primary |
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