Organization
MICKEY W. LINDSEY D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICKEY W LINDSEY D.D.S (PRESIDENT)
(870) 836-7860
Entity
Organization
Contact information
Practice address
1920 W WASHINGTON ST, SUITE A, CAMDEN, AR 71701-3134
(870) 836-7860
Mailing address
1920 W WASHINGTON ST, SUITE A, CAMDEN, AR 71701-3134
(870) 836-7860
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
2816
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127323769
—
AR
Enumeration date
03/22/2012
Last updated
03/22/2012
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