Organization
KENTON A ROSS, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENTON A ROSS D.M.D. (OWNER)
(479) 973-9800
Entity
Organization
Contact information
Practice address
106 N LOCUST AVE, FAYETTEVILLE, AR 72701-5114
(479) 973-9800
(479) 973-9246
Mailing address
106 N LOCUST AVE, FAYETTEVILLE, AR 72701-5114
(479) 973-9800
(479) 973-9246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3174
AR
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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