Individual
DR. JAMES WESLEY BORENGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3510 S 79TH ST STE 100, FORT SMITH, AR 72903-6250
(479) 242-3340
Mailing address
9205 ROSEWOOD DR, FORT SMITH, AR 72903-7060
(479) 242-3340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3525
AR
1223G0001X
General Practice Dentistry
3525
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y464
BLUE CROSS BLUE SHIELD-AR
AR
Enumeration date
08/24/2006
Last updated
03/17/2018
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