Individual
MICHAEL B. ASHCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
23 SHACKLEFORD DR, SUITE A, LITTLE ROCK, AR 72211-2859
(501) 225-3964
(501) 225-8964
Mailing address
23 SHACKLEFORD DR, SUITE A, LITTLE ROCK, AR 72211-2859
(501) 225-3964
(501) 225-8964
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2838
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
721
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117909608
—
AR
05
—
1972038628
—
AR
Enumeration date
08/08/2006
Last updated
05/14/2019
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