Individual
ALEX PISTORIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
459 SLACK STREET, PEA RIDGE, AR 72751-5042
(479) 488-3020
Mailing address
459 SLACK STREET, PEA RIDGE, AR 72751-5042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4942
AR
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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