Organization
EMMALEE BEENE-GREGORY DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMALEE BEENE-GREGORY DDS (DENTIST)
(870) 234-5244
Entity
Organization
Contact information
Practice address
1018 N WASHINGTON, MAGNOLIA, AR 71753-2456
(870) 234-5244
(870) 234-7504
Mailing address
PO BOX 432, MAGNOLIA, AR 71754-0432
(870) 234-5244
(870) 234-7504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120909608
—
AR
Enumeration date
12/03/2020
Last updated
12/03/2020
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