Organization
WHITE & BLANSETT PERIODONTICS & DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ANDREW BLANSETT DDS, PLLC (PERIODONTIST)
(479) 631-6074
Entity
Organization
Contact information
Practice address
201 N 34TH ST, ROGERS, AR 72756-0352
(479) 631-6074
(479) 936-8660
Mailing address
201 N 34TH ST, ROGERS, AR 72756-0352
(479) 631-6074
(479) 936-8660
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3958
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376821181
NPI
AR
Enumeration date
10/20/2015
Last updated
10/20/2015
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