Organization
DR. KEVIN M DUGAN D,D,S P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL DUGAN D.D.S P.A (DENTIST)
(501) 758-9191
Entity
Organization
Contact information
Practice address
3200 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2913
(501) 758-9191
(501) 758-3228
Mailing address
3200 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2913
(501) 758-9191
(501) 758-3228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2403
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187436631
—
AR
Enumeration date
07/26/2011
Last updated
07/26/2011
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