Individual
WILLIAM THOMAS HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6800 BASELINE RD, LITTLE ROCK, AR 72209
(501) 568-2425
(501) 568-2456
Mailing address
6800 BASELINE RD, LITTLE ROCK, AR 72209
(501) 568-2425
(501) 568-2456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2522
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624839
UNITED CONCORDIA
AR
01
—
BCBS58562
BLUE CROSS
AR
Enumeration date
08/23/2006
Last updated
07/08/2007
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