Organization
ASHLEY JACKSON PLUMMER,D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY JACKSON PLUMMER (DENTIST)
(870) 864-0338
Entity
Organization
Contact information
Practice address
123 W GROVE ST, EL DORADO, AR 71730-4608
(870) 864-0338
(870) 864-0229
Mailing address
123 W GROVE ST, EL DORADO, AR 71730-4608
(870) 864-0338
(870) 864-0229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3443
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152114608
—
AR
01
—
5X453
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/28/2007
Last updated
10/07/2009
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