Organization
HIGHLAND FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GRANT WILLIAMS D.D.S. (PRESIDENT)
(870) 856-4050
Entity
Organization
Contact information
Practice address
1474 HIGHWAY 62 412, HIGHLAND, AR 72542-9170
(870) 856-4050
(870) 856-4088
Mailing address
1474 HIGHWAY 62 412, HIGHLAND, AR 72542-9170
(870) 856-4050
(870) 856-4088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146516631
—
AR
Enumeration date
05/09/2007
Last updated
01/09/2008
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