Organization
GAIRHAN DENTAL CARE, PLLC
Active
Other names
Gairhan Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY BALLARD GAIRHAN D.D.S. (PRESIDENT)
(870) 931-1100
Entity
Organization
Contact information
Practice address
460 SOUTHWEST DR STE B, JONESBORO, AR 72401-5855
(870) 931-1100
(870) 931-1101
Mailing address
460 SOUTHWEST DR STE B, JONESBORO, AR 72401-5855
(870) 931-1100
(870) 931-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3709
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179731608
—
AR
01
—
1841428117
TYPE 1 NPI
—
Enumeration date
04/08/2010
Last updated
04/08/2010
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