Organization
DICKSON FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA GRAHAM (OFFICE MANAGER)
(870) 340-0979
Entity
Organization
Contact information
Practice address
2605 BROWNS LN STE A, JONESBORO, AR 72401-7227
(870) 340-0979
Mailing address
2605 BROWNS LN STE A, JONESBORO, AR 72401-7227
(870) 340-0979
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801380259
—
AR
Enumeration date
06/29/2021
Last updated
06/29/2021
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