Individual
DR. JAMES TIMOTHY KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
811 CLINTON ST, ARKADELPHIA, AR 71923-5923
(870) 246-2221
(870) 246-2532
Mailing address
811 CLINTON ST, ARKADELPHIA, AR 71923-5923
(870) 246-2221
(870) 246-2532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2554
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109979608
—
AR
01
—
112046
UNITED CONCORDIA
AR
01
—
56585
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
07/26/2006
Last updated
07/08/2007
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