Individual
DR. MAXWELL U FLEMING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3721 S OLIVE, STE B, PINE BLUFF, AR 71603
(870) 536-9800
(870) 536-9804
Mailing address
3721 S OLIVE, STE B, PINE BLUFF, AR 71603
(870) 536-9800
(870) 536-9804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2513
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103050608
—
AR
01
—
58603
BLUE CROSS BLUE SHIELD
AR
01
—
841822
UNITED CONCORDIA
—
Enumeration date
08/17/2006
Last updated
07/08/2007
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