Organization
PINE BLUFF DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MATONE DDS (OWNER/DENTIST)
(501) 205-1084
Entity
Organization
Contact information
Practice address
1400 W 42ND AVE, PINE BLUFF, AR 71603-7003
(870) 541-0136
(501) 764-4111
Mailing address
PO BOX 241785, LITTLE ROCK, AR 72223-0014
(501) 205-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
02/15/2019
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