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Organization
GARRY L. HARGIS, D.D.S., PA
Active
Organization
GARRY L. HARGIS, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY L. HARGIS D.D.S. (PRESIDENT)
(501) 562-5183
Entity
Organization
Contact information
Practice address
8211 GEYER SPRINGS RD, SUITE P-4, LITTLE ROCK, AR 72209-4952
(501) 562-5183
Mailing address
8211 GEYER SPRINGS RD, SUITE P-4, LITTLE ROCK, AR 72209-4952
(501) 562-5183
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58280
BLUE CROSS BLUE SHIELD
AR
01
—
785774
UNITED CONCARDIA
PA
Enumeration date
09/02/2006
Last updated
08/22/2020
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