Organization
PEA RIDGE FAMILY DENTISTRY, PLLC
Active
Other names
PEA RIDGE FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER)
(405) 237-9289
Entity
Organization
Contact information
Practice address
459 SLACK STREET, PEA RIDGE, AR 72751
(405) 930-4100
Mailing address
851 W I 35 FRONTAGE RD STE 350, EDMOND, OK 73034-7472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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