Organization
NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MARTIN TINNIN D.D.S., M.S.D. (PRESIDENT)
(479) 521-2814
Entity
Organization
Contact information
Practice address
1831 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
(479) 521-2814
(479) 521-5842
Mailing address
1831 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
(479) 521-2814
(479) 521-5842
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1998
AR
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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