Organization
NASHVILLE FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON GLENN LANCE D.D.S. (D.D.S.)
(870) 845-1263
Entity
Organization
Contact information
Practice address
700 N MAIN ST STE 1, NASHVILLE, AR 71852-3948
(870) 845-1263
Mailing address
700 N MAIN ST STE 1, NASHVILLE, AR 71852-3948
(870) 845-1263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2850
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114553608
—
AR
Enumeration date
07/10/2008
Last updated
02/04/2021
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