Organization
MARKS CHILDREN'S DENTISTRY
Active
Other names
Saline County Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK THOMAS MARKS D.D.S. (OWNER OPERATOR)
(501) 847-7070
Entity
Organization
Contact information
Practice address
3310 HWY 5 N, BRYANT, AR 72019-9031
(501) 847-7070
Mailing address
3310 HWY 5 NORTH, BRYANT, AR 72019-7552
(501) 847-7070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3619
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164860608
—
AR
05
—
164914631
—
AR
Enumeration date
10/02/2007
Last updated
06/19/2024
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