| Terry G Box Dds | |
|
2101 N Green Acres Rd Fayetteville AR 72703-2808 | |
| (479) 521-4822 | |
| (479) 521-5477 |
| Full Name | Terry G Box Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2101 N Green Acres Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Kelly R Bridges (OFFICE MANAGER) |
| Authorized Official Contact | 4795214822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry G Box Dds 2101 N Green Acres Rd Fayetteville AR 72703-2808 Ph: (479) 521-4822 | Terry G Box Dds 2101 N Green Acres Rd Fayetteville AR 72703-2808 Ph: (479) 521-4822 |
| NPI Number | 1598110652 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598110652 | NPI | - | NPPES |
| 1023032802 | Other | AR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2180 (Arkansas) | Primary |
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