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Organization
PEA RIDGE FAMILY DENTISTRY, PLLC
Active
Organization
PEA RIDGE FAMILY DENTISTRY, PLLC
Active
Other names
PEA RIDGE FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER)
(405) 237-9289
Entity
Organization
Contact information
Practice address
459 SLACK STREET, PEA RIDGE, AR 72751
(405) 930-4100
Mailing address
851 W I 35 FRONTAGE RD STE 350, EDMOND, OK 73034-7472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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