| Wayne Cook Dentisrty Llc | |
|
303 Bancario Ste 7 Marion AR 72364-2826 | |
| (870) 739-8799 | |
| (870) 739-8675 |
| Full Name | Wayne Cook Dentisrty Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 Bancario Ste 7, Marion, Arkansas |
| Authorized Official Name and Position | Jerry Wayne Cook (OWNER) |
| Authorized Official Contact | 8707398799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Cook Dentisrty Llc 303 Bancario Ste 7 Marion AR 72364-2826 Ph: (870) 739-8799 | Wayne Cook Dentisrty Llc 303 Bancario Ste 7 Marion AR 72364-2826 Ph: (870) 739-8799 |
| NPI Number | 1457716870 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457716870 | NPI | - | NPPES |
| 128223608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3113 (Arkansas) | Primary |
Thomas R. Pierce Jr., Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 Block St, Marion, AR 72364 Phone: 870-739-3256 Fax: 870-739-3796 | |
West Memphis Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Bancario Ste 11-12, Marion, AR 72364 Phone: 870-739-2992 Fax: 870-739-8597 | |
Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Pine St, Marion, AR 72364 Phone: 870-739-3600 Fax: 870-739-6367 | |
Children's Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Bancario, Suite 11-12, Marion, AR 72364 Phone: 901-497-5547 | |
Henry C Wah Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Block St, Marion, AR 72364 Phone: 870-739-4076 | |
Stephen R. Wah, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Block St, Marion, AR 72364 Phone: 870-739-4076 |