| Southern Dental Group, Pllc | |
|
2100 Killough Rd N Wynne AR 72396-1009 | |
| (870) 243-4406 | |
| Not Available |
| Full Name | Southern Dental Group, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2100 Killough Rd N, Wynne, Arkansas |
| Authorized Official Name and Position | William Reynolds Little (OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Group, Pllc Po Box 17151 Jonesboro AR 72403-6720 Ph: (870) 243-4406 | Southern Dental Group, Pllc 2100 Killough Rd N Wynne AR 72396-1009 Ph: (870) 243-4406 |
| NPI Number | 1134597206 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134597206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3930 (Arkansas) | Primary |
Puryear & Jackson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 East Eldrdige Avenue, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Ricky L Price Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Merriman Ave E, Wynne, AR 72396 Phone: 870-238-9190 | |
Puryear Jackson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Eldridge Ave E, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Sutton Puryear Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Eldridge Ave E, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Mary Ann Weatherford Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Julia Ave E, Wynne, AR 72396 Phone: 870-238-2600 Fax: 870-238-5522 | |
Robert W Bassham Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 Addison Dr, Wynne, AR 72396 Phone: 870-238-7570 Fax: 870-238-1208 |