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Organization

SMALL BITES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID KEITH JONES DDS (PEDIATRIC DENTIST)
(901) 359-6251
Entity
Organization

Contact information

Practice address
1301 RIDGWAY RD, PINE BLUFF, AR 71603-7611
(870) 535-8600
Mailing address
1301 RIDGWAY RD, PINE BLUFF, AR 71603-7611
(870) 535-8600

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3877
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193061608
AR
Enumeration date
09/09/2016
Last updated
09/09/2016
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