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Organization
PARKLANE FAMILY DENTAL
Active
Organization
PARKLANE FAMILY DENTAL
Active
Other names
Michael V Liggett DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL V LIGGETT DDS (OWNER)
(479) 782-0080
Entity
Organization
Contact information
Practice address
3200 ROGERS AVE, STE 111, FORT SMITH, AR 72903
(479) 782-0080
(479) 783-8580
Mailing address
3200 ROGERS AVE, STE 111, FORT SMITH, AR 72903
(479) 782-0080
(479) 783-8580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2055
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1464220
UNITED CONCORDIA
—
01
—
5C819
BCBS
AR
Enumeration date
08/20/2006
Last updated
08/22/2020
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