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Organization
FULL THROTTLE DENTAL, PLLC
Active
Organization
FULL THROTTLE DENTAL, PLLC
Active
Other names
Higginbotham Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI ROSS (INSURANCE DIRECTOR)
(870) 336-3732
Entity
Organization
Contact information
Practice address
6630 SUMMER KNOLL CIR STE 103, BARTLETT, TN 38134-2926
(901) 377-5060
Mailing address
1804 OLD GREENSBORO RD BLDG B, JONESBORO, AR 72405-0003
(870) 336-3732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
09/27/2022
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