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Individual

WILLIAM TOMPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1607 E RAINFOREST DR, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(479) 443-4630
Mailing address
1607 E RAINFOREST DR, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(479) 443-4630

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3404
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1400699
UCCI
AR
05
152987608
AR
01
3404
DELTA
AR
01
5X950
BCBS
AR
Enumeration date
12/06/2006
Last updated
12/11/2013
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