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Organization
MAINLINE HEALTH SYSTEMS, INC
Active
Organization
MAINLINE HEALTH SYSTEMS, INC
Active
Other names
Drew Central Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALLAN NICHOLS (CEO)
(870) 942-3000
Entity
Organization
Contact information
Practice address
250 UNIVERSITY DR, MONTICELLO, AR 71655-8891
(479) 957-9685
(888) 335-9961
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
03/23/2026
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