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Organization

SHARP FAMILY DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX SHARP DDS (OWNER DENTIST)
(501) 843-5808
Entity
Organization

Contact information

Practice address
3284 HIGHWAY 367 S, CABOT, AR 72023
(501) 843-5808
Mailing address
3284 HIGHWAY 367 S, CABOT, AR 72023-7444

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4047
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699155523
INDIVIDUAL NPI
Enumeration date
01/12/2018
Last updated
01/12/2018
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