Individual
DR. JOHN GARY TUMLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
810 LOCUST ST, CONWAY, AR 72034-5331
(501) 327-4589
(501) 327-2871
Mailing address
810 LOCUST ST, CONWAY, AR 72034-5331
(501) 327-4589
(501) 327-2871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2039
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58682
BLUE CROSS & BLUE SHIELD
AR
01
—
787611
UNITED CONCORDIA
AR
Enumeration date
07/31/2006
Last updated
07/08/2007
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