Individual
DR. TERRELL WAYNE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 HAMILTON LANE, GREENWOOD, AR 72936
(479) 996-6555
(479) 996-6536
Mailing address
701 C 7TH STREET, MENA, AR 71953
(479) 394-5666
(479) 996-6536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2864
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58213
BCBS FEDERAL
AR
01
—
884517
UNITED CONCORDIA
PA
Enumeration date
12/12/2006
Last updated
07/08/2007
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