Individual
DR. ROBERT CHARLES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2386 N GREEN ACRES RD, FAYETTEVILLE, AR 72703
(479) 442-8500
(479) 442-2933
Mailing address
2386 N GREEN ACRES RD, FAYETTEVILLE, AR 72703
(479) 442-8500
(479) 442-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3195
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
525012
UNITED CONCORDIA
AR
01
—
59086
FED BCBS
AR
01
—
5B210
BCBS
AR
Enumeration date
09/16/2006
Last updated
07/08/2007
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