Organization
A MATTHEW NGUYEN DDS CORP.
Active
Other names
Sheridan Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY RED (MANAGER)
(501) 847-9191
Entity
Organization
Contact information
Practice address
6712 HILO AVE, BRYANT, AR 72019-8841
(501) 765-7689
Mailing address
6712 HILO AVE, BRYANT, AR 72019-8841
(501) 765-7689
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4131
DENTAL OFFICE
AR
Enumeration date
05/05/2022
Last updated
05/05/2022
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