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Organization
BETHEL BURRIS OLIVER PLLC
Active
Organization
BETHEL BURRIS OLIVER PLLC
Active
Other names
Arkansas Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BURRIS DDS, MDS (OWNER)
(479) 445-6335
Entity
Organization
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 445-6335
(479) 301-2878
Mailing address
4375 N VANTAGE DR, SUITE 202, FAYETTEVILLE, AR 72703-4982
(479) 445-6335
(479) 301-2878
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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