Individual
DR. MATTHEW DAVID CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1225 BRECKENRIDGE DR, SUITE #210, LITTLE ROCK, AR 72205-1558
(501) 225-4644
(501) 225-4102
Mailing address
1225 BRECKENRIDGE DR, SUITE #210, LITTLE ROCK, AR 72205-1558
(501) 225-4644
(501) 225-4102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3613
AR
1223P0300X
Periodontics
Primary
34
AR
Other
Enumeration date
10/01/2007
Last updated
02/25/2016
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