Organization
CHARLES A REDMOND DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A REDMOND DDS (PRESIDENT)
(501) 753-5594
Entity
Organization
Contact information
Practice address
4137 JFK BLVD, NORTH LITTLE ROCK, AR 72116-8264
(501) 753-5594
(501) 753-5880
Mailing address
4137 JFK BLVD, NORTH LITTLE ROCK, AR 72116-8264
(501) 753-5594
(501) 753-5880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2264
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159088608
—
AR
Enumeration date
06/08/2009
Last updated
06/08/2009
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