# ARKLATEX FAMILY DENTAL CENTER

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

## Provider details

- **NPI number:** 1699960526
- **Authorized official:** DR. SCOTT JOLLY DDS (ADMINISTRATOR)
- **Authorized official phone:** (870) 779-0411

## Contact information

- **Practice address:** 421 PECAN ST, TEXARKANA, AR 71854-5333
- **Practice address phone:** (870) 779-0411
- **Mailing address:** 421 PECAN ST, TEXARKANA, AR 71854-5333
- **Mailing address phone:** (870) 779-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/13/2007