# RIVER VALLEY PRIMARY CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waldron Community Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093607533
- **Authorized official:** NIKKI LEANN MCKINNEY MBA (BUSINESS DEVELOPMENT)
- **Authorized official phone:** (479) 431-2057

## Contact information

- **Practice address:** 2074 RICE ST, WALDRON, AR 72958-7435
- **Practice address phone:** (479) 307-8760
- **Practice address fax:** (479) 307-8761
- **Mailing address:** PO BOX 130, RATCLIFF, AR 72951-0130
- **Mailing address phone:** (479) 431-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2025
- **Last updated:** 08/22/2025