Organization
CENTERSTONE FAMILY DENTISTRY, PLLC
Active
Parent organization
ROBERT R. CARLISLE, D.D.S., PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT R. CARLISLE, D.D.S., PLLC
Authorized official
DR. ROBERT CARLISLE D.D.S. (OWNER/ GENERAL DENTIST)
(501) 932-0192
Entity
Organization
Contact information
Practice address
2235 DAVE WARD DR, SUITE 103, CONWAY, AR 72034-7039
(501) 932-0192
(501) 932-0211
Mailing address
2235 DAVE WARD DR, SUITE 103, CONWAY, AR 72034-7039
(501) 932-0192
(501) 932-0211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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