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Organization

DR. JOHN T. AHRENS D.M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN T AHRENS MDM (OWNER)
(870) 425-3730
Entity
Organization

Contact information

Practice address
403 E 7TH ST, MOUNTAIN HOME, AR 72653-3948
(870) 425-3730
(870) 425-1504
Mailing address
403 E 7TH ST, MOUNTAIN HOME, AR 72653-3948
(870) 425-1504

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58015
ARKANSAS BLUE CROSS BLUE SHIELD
AR
01
868720
UNITED CONCORDIA
AR
Enumeration date
06/18/2009
Last updated
06/18/2009
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