Organization
JOSEPH G. BUSSELL, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GLENN BUSSELL DDS (OWNER/PRES.)
(501) 868-1300
Entity
Organization
Contact information
Practice address
6020 RANCH DR, SUITE C6, LITTLE ROCK, AR 72223-4621
(501) 868-1300
(501) 868-1327
Mailing address
6020 RANCH DR, SUITE C6, LITTLE ROCK, AR 72223-4621
(501) 868-1300
(501) 868-1327
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2839
AR
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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