Organization
GOTTSPONER FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM GOTTSPONER DDS (OWNER)
(501) 215-1474
Entity
Organization
Contact information
Practice address
914 E DRILLING ST, MORRILTON, AR 72110-2218
(501) 354-1305
Mailing address
914 E DRILLING ST, MORRILTON, AR 72110-2218
(501) 354-1305
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269285608
—
AR
Enumeration date
11/15/2021
Last updated
11/15/2021
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