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Organization
DOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY
Active
Organization
DOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY
Active
Other names
Dover Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DOVER DDS (OWNER/ DENTIST)
(870) 530-0881
Entity
Organization
Contact information
Practice address
400 S COLLEGE ST STE 4, MOUNTAIN HOME, AR 72653-3991
(870) 425-4777
Mailing address
400 S COLLEGE ST STE 4, MOUNTAIN HOME, AR 72653-3991
(870) 425-4777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177569608
—
AR
Enumeration date
05/18/2020
Last updated
05/18/2020
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