Organization
CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA
Active
Other names
Jeff H Byram DDS
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF H BYRAM DDS (PRESIDENT)
(501) 268-7000
Entity
Organization
Contact information
Practice address
408 W VINE AVE, SEARCY, AR 72143-4141
(501) 268-7000
(501) 279-3606
Mailing address
408 WEST VINE, SEARCY, AR 72143
(501) 268-7000
(501) 279-3606
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
LICENSE 3108 SPEC 54
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128014679
—
AR
Enumeration date
08/29/2006
Last updated
01/25/2012
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