Individual
MARK E. PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 CASH RD NW, CAMDEN, AR 71701-3833
(870) 836-5003
(870) 836-3163
Mailing address
135 CASH RD NW, CAMDEN, AR 71701-3833
(870) 836-5003
(870) 836-3163
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2558
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58716
BCBS
AR
01
—
884614
UNITED CONCORDIA
AR
Enumeration date
10/12/2006
Last updated
07/08/2007
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