Organization
WILLMUTH DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD N WILLMUTH (DOCTOR)
(870) 886-6761
Entity
Organization
Contact information
Practice address
413 SW 3RD ST, WALNUT RIDGE, AR 72476-2310
(870) 886-6761
(870) 886-6762
Mailing address
413 SW 3RD ST, PO BOX 713, WALNUT RIDGE, AR 72476-2310
(870) 886-6761
(870) 886-6762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1755
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58790
PROVIDER ID
AR
Enumeration date
05/31/2007
Last updated
08/22/2020
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