Organization
SOUTHERN DENTAL OF MUNFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE DDS (OWNER)
(870) 972-1200
Entity
Organization
Contact information
Practice address
1461 MUNFORD AVE, MUNFORD, TN 38058-6743
(901) 837-6868
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720
(870) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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