| Small Bites | |
|
1301 Ridgway Rd Pine Bluff AR 71603-7611 | |
| (870) 535-8600 | |
| Not Available |
| Full Name | Small Bites |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1301 Ridgway Rd, Pine Bluff, Arkansas |
| Authorized Official Name and Position | David Keith Jones (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9013596251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Bites 1301 Ridgway Rd Pine Bluff AR 71603-7611 Ph: (870) 535-8600 | Small Bites 1301 Ridgway Rd Pine Bluff AR 71603-7611 Ph: (870) 535-8600 |
| NPI Number | 1356898191 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356898191 | NPI | - | NPPES |
| 193061608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3877 (Arkansas) | Primary |
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