Individual
DR. RICHARD DEAN MCNEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3394 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 582-3360
(479) 582-3466
Mailing address
3394 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 582-3360
(479) 582-3466
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
3153
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T212
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/20/2006
Last updated
02/19/2021
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