Organization
MAXSURGE DENTAL SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L BOLDING DDS (OWNER)
(479) 717-1171
Entity
Organization
Contact information
Practice address
520 N PINE ST, HARRISON, AR 72601-3442
(870) 741-3877
(870) 741-2406
Mailing address
PO BOX 1481, SEARCY, AR 72145-1481
(479) 717-1171
(479) 725-2395
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3025
AR
Other
Enumeration date
04/15/2014
Last updated
04/21/2014
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