| Southeast Family Dentistry Pllc | |
|
601 N 2nd St Mc Gehee AR 71654-2005 | |
| (870) 222-3926 | |
| (870) 222-4002 |
| Full Name | Southeast Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 601 N 2nd St, Mc Gehee, Arkansas |
| Authorized Official Name and Position | John M Lally (MBR) |
| Authorized Official Contact | 8702223926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Family Dentistry Pllc 601 N 2nd St Mc Gehee AR 71654-2005 Ph: (870) 222-3926 | Southeast Family Dentistry Pllc 601 N 2nd St Mc Gehee AR 71654-2005 Ph: (870) 222-3926 |
| NPI Number | 1255885307 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 08/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255885307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2164 (Arkansas) | Primary |
| 1223G0001X | Dentist - General Practice | 4106 (Arkansas) | Secondary |
J.m. Lally, Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N 2nd St, Mc Gehee, AR 71654 Phone: 870-222-3926 |