Organization
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.
Other names
Dental Care of Fayetteville
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.
Authorized official
HANNAH BEAR (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization
Contact information
Practice address
2868 W MARTIN LUTHER KING BLVD, FAYETTEVILLE, AR 72704-7625
(479) 249-8181
Mailing address
2868 W MARTIN LUTHER KING BLVD, FAYETTEVILLE, AR 72704-7625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
09/02/2016
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