Individual
DR. JONATHAN ANDREW BLANSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2522 S PINNACLE HILLS PKWY STE 102, ROGERS, AR 72758-1415
(479) 282-2812
(479) 936-8660
Mailing address
2522 S PINNACLE HILLS PKWY STE 102, ROGERS, AR 72758-1415
(479) 282-2812
(479) 340-0068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27107
TX
1223P0300X
Periodontics
3958
AR
1223P0300X
Periodontics
Primary
3958(DDS); 37(PERIO)
AR
Other
Enumeration date
07/27/2011
Last updated
03/18/2019
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