Organization
DAVID R. KERNODLE, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RAY KERNODLE D.D.S. (PRESIDENT)
(870) 741-6726
Entity
Organization
Contact information
Practice address
715 W SHERMAN AVE, SUITE H, HARRISON, AR 72601-2743
(870) 741-6726
(870) 741-0164
Mailing address
715 W SHERMAN AVE, SUITE H, HARRISON, AR 72601-2743
(870) 741-6726
(870) 741-0164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1904
AR
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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