Organization
HURST FAMILY DENTAL CARE, PLLC
Active
Other names
Hurst Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HAYS HURST DDS (PRESIDENT)
(479) 474-1972
Entity
Organization
Contact information
Practice address
1205 E POINTER TRL, VAN BUREN, AR 72956-2317
(479) 474-1972
Mailing address
PO BOX 819, VAN BUREN, AR 72957-0819
(479) 461-7811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3324
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148313608
—
AR
Enumeration date
08/01/2017
Last updated
09/12/2017
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