Individual
DR. MARION D DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
370 W MAIN ST, ASHDOWN, AR 71822-2750
(870) 898-5077
(870) 898-2070
Mailing address
370 W MAIN ST, ASHDOWN, AR 71822-2750
(870) 898-5077
(870) 898-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2150
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58144
BCBS
AR
01
—
839634
UNITED CONCORDIA
AR
Enumeration date
11/01/2006
Last updated
07/08/2007
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