Organization
HIGGINBOTHAM DENTAL GROUP, PLLC
Active
Other names
Higginbotham Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI ROSS (INSURANCE DIRECTOR)
(870) 336-3732
Entity
Organization
Contact information
Practice address
113 HARBOR TOWN SQ STE 203, MEMPHIS, TN 38103-8890
(901) 453-6081
(901) 453-6083
Mailing address
1804 OLD GREENSBORO RD BLDG B, JONESBORO, AR 72405-0003
(870) 336-5620
(870) 336-3810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10169
TN
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
04/09/2024
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