Organization
NEW IMAGE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDREW BAXTER DDS, PA (GENERAL DENTIST)
(479) 636-4351
Entity
Organization
Contact information
Practice address
540 N 13TH ST, ROGERS, AR 72756-3432
(479) 636-4351
(479) 631-6988
Mailing address
540 NORTH 13TH ST., ROGERS, AR 72756
(479) 636-4351
(479) 631-6988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3225
AR
1223G0001X
General Practice Dentistry
3527
AR
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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