Organization
SOUTHERN DENTAL OF FORT SMITH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE DDS (OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
4208 JENNY LIND RD, FORT SMITH, AR 72901-7660
(479) 782-3400
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
(870) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3930
AR
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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