Organization
SMILE SHOPPE FAYETTEVILLE JEFFREY D. RHODES DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIE WATSON (PRACTICE MANAGER)
(479) 631-6377
Entity
Organization
Contact information
Practice address
3484 W WEDINGTON DR, FAYETTEVILLE, AR 72704-5730
(479) 631-6377
Mailing address
5518 W WALSH LN, ROGERS, AR 72758-8947
(479) 631-6377
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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