Organization
DOUGLAS A CARMICAL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A CARMICAL D.D.S. (OWNER/PROVIDER)
(479) 855-3313
Entity
Organization
Contact information
Practice address
1198 FOREST HILLS BLVD STE 107, BELLA VISTA, AR 72715-2391
(479) 855-3313
(479) 855-4314
Mailing address
1198 FOREST HILLS BLVD STE 107, BELLA VISTA, AR 72715-2391
(479) 855-3313
(479) 855-4314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/24/2016
Last updated
08/12/2024
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