Organization
OZARKS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE E BOWERS DDS, PA (ORTHODONTIST)
(870) 741-5030
Entity
Organization
Contact information
Practice address
1405 MCCOY DR, HARRISON, AR 72601-2417
(870) 741-5030
(870) 741-9112
Mailing address
1405 MCCOY DR, HARRISON, AR 72601-2417
(870) 741-5030
(870) 741-9112
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2454
AR
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101314608
—
AR
Enumeration date
02/02/2011
Last updated
02/02/2011
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