Organization
RIVER DENTAL FARMINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE JOELLE DEMMY (CREDENTIALING SPECIALIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
82 SOUTHWINDS RD, FARMINGTON, AR 72730-8677
(479) 267-2266
(479) 267-4480
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
10/21/2021
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