| Tatum Orthodontics | |
|
825 N Main St Suite 6 Harrison AR 72601-2914 | |
| (501) 781-2777 | |
| Not Available |
| Full Name | Tatum Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 825 N Main St, Harrison, Arkansas |
| Authorized Official Name and Position | Mark Dake (OWNER) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tatum Orthodontics 5100 Talley Rd Suite 100 Little Rock AR 72204-8032 Ph: () - | Tatum Orthodontics 825 N Main St Suite 6 Harrison AR 72601-2914 Ph: (501) 781-2777 |
| NPI Number | 1043609522 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043609522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2681 (Arkansas) | Primary |
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