Organization
HIGGINBOTHAM DENTAL GROUP, PLLC
Active
Other names
Doing Business As
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI ROSS (INS DIRECTOR)
(870) 336-3732
Entity
Organization
Contact information
Practice address
103 1ST ST, KENNETT, MO 63857-2051
(573) 888-9944
(573) 888-9789
Mailing address
1804 OLD GREENSBORO RD BLDG B, JONESBORO, AR 72405-0003
(870) 336-3732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
10/14/2020
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