| Siegfried,llc | |
|
12 Marlou Dr Cabot AR 72023-3693 | |
| (501) 628-5555 | |
| (501) 628-5556 |
| Full Name | Siegfried,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Marlou Dr, Cabot, Arkansas |
| Authorized Official Name and Position | Leslie Erin Siegfried (SOLE MBR) |
| Authorized Official Contact | 5016285555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siegfried,llc 12 Marlou Dr Cabot AR 72023-3693 Ph: (501) 628-5555 | Siegfried,llc 12 Marlou Dr Cabot AR 72023-3693 Ph: (501) 628-5555 |
| NPI Number | 1639563406 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639563406 | NPI | - | NPPES |
| 197469608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3838 (Arkansas) | Primary |
W.brent Larsen, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Templeton Dr, Cabot, AR 72023 Phone: 501-843-9306 Fax: 501-843-4251 | |
Cabot Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S 10th St, Cabot, AR 72023 Phone: 501-843-7726 Fax: 501-843-3561 | |
Owen Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 South Pine Street, Suite B, Cabot, AR 72023 Phone: 501-941-1700 Fax: 501-941-1703 | |
David J Glover Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Marlou Dr, Cabot, AR 72023 Phone: 501-628-5555 Fax: 501-628-5562 | |
Patrick And Ashley Fields Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Arena Rd, Suite C, Cabot, AR 72023 Phone: 501-941-2482 Fax: 501-941-2483 | |
Scott T Hill Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Marlou Dr, Cabot, AR 72023 Phone: 501-628-5555 Fax: 501-628-5556 | |
Sharp Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3284 Highway 367 S, Cabot, AR 72023 Phone: 501-843-5808 |