Individual
PENNY E SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
605 N 2ND ST, BLYTHEVILLE, AR 72315-2034
(870) 532-6002
(870) 532-6008
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 733-6388
(870) 532-6008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3952
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3952
ARKANSAS LICENSE
AR
Enumeration date
07/10/2013
Last updated
01/25/2024
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