Organization
BETHEL BURRIS OLIVER PLLC
Active
Other names
Arkansas Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN G BURRIS DDS, MDS, PA (OWNER)
(479) 445-6335
Entity
Organization
Contact information
Practice address
1400 SE WALTON BLVD, SUITE 10-12, BENTONVILLE, AR 72712-3722
(479) 445-6335
(479) 301-2878
Mailing address
4375 N VANTAGE DR, SUITE 202, FAYETTEVILLE, AR 72703-4982
(479) 445-6335
(479) 301-2878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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