Organization
HIGGINBOTHAM DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI ROSS (INSURANCE DIRECTOR)
(870) 336-3732
Entity
Organization
Contact information
Practice address
1804 OLD GREENSBORO RD STE D, JONESBORO, AR 72405-2076
(870) 333-1352
(870) 336-3810
Mailing address
1804 OLD GREENSBORO RD BLDG B, JONESBORO, AR 72405-0003
(870) 336-3732
(870) 336-3810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
10/14/2020
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