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Organization
JAMEY C. TINNIN D.D.S. ENDODONTICS LTD
Active
Organization
JAMEY C. TINNIN D.D.S. ENDODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA CUSHMAN (OFFICE MANAGER)
(479) 957-2443
Entity
Organization
Contact information
Practice address
1680 E JOYCE BLVD, FAYETTEVILLE, AR 72703-6214
(479) 957-2443
Mailing address
1680 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-6214
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3148
AR
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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