Individual
DR. MICHAEL L MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
891 N MAIN AVE, FAYETTEVILLE, AR 72701-8850
(479) 444-0202
(479) 251-9578
Mailing address
1235 E RODGERS DR, FAYETTEVILLE, AR 72701-1307
(479) 444-0354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2954
AR
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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