Individual
MR. DAVID E JEFFERY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
214 SOUTH THIRD STREET, ROGERS, AR 72756
(479) 636-4771
(479) 636-1401
Mailing address
214 SOUTH THIRD STREET, ROGERS, AR 72756
(479) 636-4771
(479) 636-1401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2881
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100686
BCBS TENNESSEE
—
01
—
477344
UNITED CONCORDIA
—
01
—
58708
FEDERAL BCBS
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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