| Stephen W. Boatright, Dds, Pa | |
|
11700 Cantrell Rd Suite 1 Little Rock AR 72223-1705 | |
| (501) 221-2628 | |
| (501) 221-6787 |
| Full Name | Stephen W. Boatright, Dds, Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 11700 Cantrell Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Stephen Boatright (OWNER) |
| Authorized Official Contact | 5012212628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen W. Boatright, Dds, Pa 11700 Cantrell Rd Suite 1 Little Rock AR 72223-1705 Ph: (501) 221-2628 | Stephen W. Boatright, Dds, Pa 11700 Cantrell Rd Suite 1 Little Rock AR 72223-1705 Ph: (501) 221-2628 |
| NPI Number | 1912100322 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912100322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 22 (Maryland) | Primary |
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