| Tyrer Dental Care | |
|
2603 Brown's Lane Jonesboro AR 72401 | |
| (870) 935-4060 | |
| (870) 931-6715 |
| Full Name | Tyrer Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2603 Brown's Lane, Jonesboro, Arkansas |
| Authorized Official Name and Position | Dean Austin Tyrer (OWNER, DENTIST) |
| Authorized Official Contact | 8709354060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrer Dental Care 2603 Brown's Lane Jonesboro AR 72401 Ph: (870) 935-4060 | Tyrer Dental Care 2603 Brown's Lane Jonesboro AR 72401 Ph: (870) 935-4060 |
| NPI Number | 1144461773 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144461773 | NPI | - | NPPES |
| 101-822-608 | Other | AR | ARKIDS (MEDICAID FOR CHILDREN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2525 (Arkansas) | Primary |
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