Organization
SOUTHERN DENTAL OF JONESBORO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE D.D.S. (MEMBER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
2500 BROWNS LN STE A, JONESBORO, AR 72401-6107
(870) 243-4406
Mailing address
2500 BROWNS LN STE A, JONESBORO, AR 72401-6107
(870) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3930
AR
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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