Organization
FULL THROTTLE DENTAL, PLLC
Active
Other names
Higginbotham Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI ROSS (INSURANCE DIRECTOR)
(870) 336-3732
Entity
Organization
Contact information
Practice address
6630 SUMMER KNOLL CIR STE 103, BARTLETT, TN 38134-2926
(901) 377-5060
Mailing address
1804 OLD GREENSBORO RD BLDG B, JONESBORO, AR 72405-0003
(870) 336-3732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
09/27/2022
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