Organization
KEMP CHILDS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES K CHILDS JR. DDS (OWNER)
(870) 483-7654
Entity
Organization
Contact information
Practice address
143 HWY 463 NORTH, TRUMANN, AR 72472
(870) 483-7654
(870) 483-7047
Mailing address
143 HWY 463 NORTH, TRUMANN, AR 72472
(870) 483-7654
(870) 483-7047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2610
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58751
BLUECROSS BLUESHIELD, ID#
AR
01
—
595995
UNITED CONCORDIA ID #
—
Enumeration date
11/28/2006
Last updated
08/22/2020
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