Organization
BOLD DENTAL PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L BOLDING DDS (OWNER)
(479) 521-2653
Entity
Organization
Contact information
Practice address
640 N GARLAND AVE, SUITE 104, FAYETTEVILLE, AR 72701
(479) 521-2653
(479) 575-0380
Mailing address
PO BOX 1108, FAYETTEVILLE, AR 72702-1108
(479) 439-9192
(479) 725-2395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3062
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163704608
—
AR
Enumeration date
04/26/2013
Last updated
08/28/2013
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