Organization
AINLEY FAMILY DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALAN AINLEY DDS (PRESIDENT)
(870) 239-2285
Entity
Organization
Contact information
Practice address
707 LINWOOD DR, PARAGOULD, AR 72450-4899
(870) 239-2285
(870) 239-8871
Mailing address
PO BOX 61, 707 LINWOOD DRIVE, PARAGOULD, AR 72451-0061
(870) 239-2285
(870) 239-8871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2613
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2613
STATE LICENSE
AR
Enumeration date
08/01/2006
Last updated
08/22/2020
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