# WALNUT RANCH DENTAL SPA GPS, PLLC

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

## Provider details

- **NPI number:** 1225615321
- **Authorized official:** DR. WILLIAM REYNOLDS LITTLE DDS (CO-OWNER)
- **Authorized official phone:** (870) 243-4406

## Contact information

- **Practice address:** 1610 WALNUT DR, ARDMORE, OK 73401-2331
- **Practice address phone:** (580) 226-1244
- **Mailing address:** 100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 03/25/2021