# MAXSURGE DENTAL SPECIALIST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205255403
- **Authorized official:** DR. SCOTT L BOLDING DDS (OWNER)
- **Authorized official phone:** (479) 717-1171

## Contact information

- **Practice address:** 520 N PINE ST, HARRISON, AR 72601-3442
- **Practice address phone:** (870) 741-3877
- **Practice address fax:** (870) 741-2406
- **Mailing address:** PO BOX 1481, SEARCY, AR 72145-1481
- **Mailing address phone:** (479) 717-1171
- **Mailing address fax:** (479) 725-2395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3025 | AR | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/21/2014