Organization
FALLON DAVIS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FALLON ANTHONY DAVIS D.D.S (OWNER)
(501) 227-5567
Entity
Organization
Contact information
Practice address
10319 W MARKHAM ST STE 100, LITTLE ROCK, AR 72205-4555
(501) 227-5567
(501) 227-5268
Mailing address
10319 W MARKHAM ST STE 100, LITTLE ROCK, AR 72205-4555
(501) 227-5567
(501) 227-5268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01863
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578656369
NPI TYPE 1
AR
Enumeration date
05/30/2007
Last updated
08/22/2020
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