Organization
JONATHAN P. DACUS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P DACUS D.D.S. (OWNER)
(501) 834-4800
Entity
Organization
Contact information
Practice address
7522 HIGHWAY 107, SHERWOOD, AR 72120-4645
(501) 834-4800
(501) 833-1414
Mailing address
7522 HIGHWAY 107, SHERWOOD, AR 72120-4645
(501) 834-4800
(501) 833-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2350
AR
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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