Organization
HD DENTAL, PA DBA SMILE DENTAL
Active
Other names
Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD HIGGINBOTHAM DDS (OWNER)
(844) 463-5677
Entity
Organization
Contact information
Practice address
14810 CANTRELL RD, LITTLE ROCK, AR 72223-4244
(844) 463-5677
Mailing address
14810 CANTRELL RD, LITTLE ROCK, AR 72223-4244
(844) 463-5677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3393
AR
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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