Organization
SMITH & DAVIS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TACKEL (OFFICE MANAGER)
(479) 286-0040
Entity
Organization
Contact information
Practice address
604 S 52ND ST, ROGERS, AR 72758-8601
(479) 286-0040
(479) 286-0044
Mailing address
604 S 52ND ST, ROGERS, AR 72758-8601
(479) 286-0040
(479) 286-0044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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