Organization
ROBERT D FLANNIGAN D.D.S. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID FLANNIGAN II D.D.S. (OWNER)
(870) 486-2312
Entity
Organization
Contact information
Practice address
305 WEST DREW AVE, MONETTE, AR 72447-0449
(870) 486-2312
(870) 486-2419
Mailing address
305 WEST DREW AVE., P.O. BOX 449, MONETTE, AR 72447-0449
(870) 486-2312
(870) 486-2419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2251
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C911
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/23/2007
Last updated
08/22/2020
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