Organization
KINARD DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KINARD D.D.S. (DENTIST)
(870) 500-8155
Entity
Organization
Contact information
Practice address
1215 MILITARY RD STE 5, BENTON, AR 72015-2937
(501) 315-5574
Mailing address
1215 MILITARY RD STE 3, BENTON, AR 72015-2937
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4094
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922457332
NPI
AR
Enumeration date
09/26/2017
Last updated
12/24/2018
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