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Individual

WILLIAM ALLYN LADD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
540 JEFFERSON ST SW, CAMDEN, AR 71701-3952
(870) 836-8944
(870) 836-8984
Mailing address
540 JEFFERSON ST SW, CAMDEN, AR 71701-3952
(870) 836-8944
(870) 836-8984

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1085
AK
1223G0001X
General Practice Dentistry
3328
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181029631
AR
01
2056123
UNITED CONCORDIA
AR
01
5H250
BCBS
AR
Enumeration date
10/20/2006
Last updated
11/30/2011
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