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Organization

HIGGINBOTHAM DENTAL GROUP, PLLC

Active
Other names
Higginbotham Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MISTI ROSS (INSURANCE DIRECTOR)
(870) 336-3732
Entity
Organization

Contact information

Practice address
7685 WOLF RIVER CIR, GERMANTOWN, TN 38138-1749
(901) 753-2225
(901) 753-2555
Mailing address
1804 OLD GREENSBORO RD, JONESBORO, AR 72405-2076
(870) 336-3732

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/14/2024
Last updated
05/14/2024
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