Organization
KARLA K. GAINES, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA KAY GAINES DDS (DENTIST)
(479) 936-8800
Entity
Organization
Contact information
Practice address
802 N DIXIELAND RD, ROGERS, AR 72756-3205
(479) 936-8800
(479) 936-8808
Mailing address
802 N DIXIELAND RD, ROGERS, AR 72756-3205
(479) 936-8800
(479) 936-8808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3098
AR
261QD0000X
Dental Clinic/Center
3098
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125300608
—
AR
Enumeration date
08/21/2014
Last updated
08/21/2014
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