Organization
SMALL BITES
Active
Parent organization
SMALL BITES LLC
Other names
Small Bites Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMALL BITES LLC
Authorized official
DAVID KEITH JONES DDS (OWNER)
(901) 359-6251
Entity
Organization
Contact information
Practice address
7197 SHERIDAN RD STE 115, WHITE HALL, AR 71602-3261
(870) 267-1423
Mailing address
7197 SHERIDAN RD STE 115, WHITE HALL, AR 71602-3261
(870) 267-1423
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193061608
—
AR
05
—
555746631
—
AR
Enumeration date
05/26/2022
Last updated
05/26/2022
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