Organization
DR HEATHER BOND SOUTHARD, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER BOND SOUTHARD DDS (DENTIST)
(870) 932-7000
Entity
Organization
Contact information
Practice address
2600 BROWNS LN, JONESBORO, AR 72401-7226
(870) 932-7000
(870) 932-1650
Mailing address
2600 BROWNS LN, JONESBORO, AR 72401-7226
(870) 932-7000
(870) 932-1650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3469
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161820608
—
AR
Enumeration date
05/29/2007
Last updated
04/17/2014
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