Organization
BROOKE JEFFUS, DDS, PLLC
Active
Other names
Jeffus Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE JEFFUS DDS (OWNER)
(501) 213-4590
Entity
Organization
Contact information
Practice address
23239 I 30, BRYANT, AR 72022-2571
(501) 213-4590
(501) 943-1353
Mailing address
23239 I 30, BRYANT, AR 72022-2571
(501) 213-4590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3631
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225221567
NPI
—
Enumeration date
06/25/2015
Last updated
08/26/2024
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