# ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC

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

## Provider details

- **NPI number:** 1720326945
- **Authorized official:** DR. SCOTT L BOLDING DDS (PRESIDENT)
- **Authorized official phone:** (479) 434-4430

## Contact information

- **Practice address:** 8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
- **Practice address phone:** (479) 434-4430
- **Practice address fax:** (479) 434-4438
- **Mailing address:** PO BOX 524, LOWELL, AR 72745-0524
- **Mailing address phone:** (479) 717-1171
- **Mailing address fax:** (479) 725-2395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3025 | AR | Yes |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 09/10/2014