| White River Dental Center | |
|
259 Eagle Mountain Blvd Batesville AR 72501-4232 | |
| (870) 698-0900 | |
| (870) 698-0332 |
| Full Name | White River Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 259 Eagle Mountain Blvd, Batesville, Arkansas |
| Authorized Official Name and Position | Mark W Chunn (OWNER/DENTIST) |
| Authorized Official Contact | 8706980900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Dental Center 259 Eagle Mountain Blvd Batesville AR 72501-4232 Ph: (870) 698-0900 | White River Dental Center 259 Eagle Mountain Blvd Batesville AR 72501-4232 Ph: (870) 698-0900 |
| NPI Number | 1720316359 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720316359 | NPI | - | NPPES |
| 179175631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3078 (Arkansas) | Primary |
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