# SOUTHERN DENTAL OF BRUNSWICK PLLC

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

## Provider details

- **NPI number:** 1962915959
- **Authorized official:** DR. WILLIAM REYNOLDS LITTLE DDS (OWNER)
- **Authorized official phone:** (870) 243-4406

## Contact information

- **Practice address:** 8755 CHAFFEE ROAD, SUITE 103, ARLINGTON, TN 38002
- **Practice address phone:** (901) 382-9704
- **Mailing address:** PO BOX 17151, JONESBORO, AR 72403-6720

## 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