| W.darrel Fain D.d.s. P.a. | |
|
419 E 6th St S Prescott AR 71857-2432 | |
| (870) 887-5051 | |
| Not Available |
| Full Name | W.darrel Fain D.d.s. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 419 E 6th St S, Prescott, Arkansas |
| Authorized Official Name and Position | William Darrel Fain (OWNER) |
| Authorized Official Contact | 8708875051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W.darrel Fain D.d.s. P.a. 419 E 6th St S Prescott AR 71857-2432 Ph: (870) 887-5051 | W.darrel Fain D.d.s. P.a. 419 E 6th St S Prescott AR 71857-2432 Ph: (870) 887-5051 |
| NPI Number | 1194886291 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194886291 | NPI | - | NPPES |
| 116984831 | Medicaid | AR | |
| 2114 | Other | AR | DELTA DENTAL |
| 58267 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2114 (Arkansas) | Primary |
Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 W 1st St N, Prescott, AR 71857 Phone: 870-826-1576 |