# SOUTHERN DENTAL OF RALEIGH PLLC

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

## Provider details

- **NPI number:** 1770096703
- **Authorized official:** DR. WILLIAM REYNOLDS LITTLE DDS (OWNER)
- **Authorized official phone:** (870) 243-4406

## Contact information

- **Practice address:** 4283 RALEIGH MILLINGTON RD, MEMPHIS, TN 38128-2207
- **Practice address phone:** (901) 372-1221
- **Mailing address:** PO BOX 17151, JONESBORO, AR 72403-6720
- **Mailing address phone:** (870) 243-4406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3930 | AR | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 11/13/2017