Individual
SUZANNE K MCGURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12501 CANTRELL ROAD, LITTLE ROCK, AR 72223
(501) 223-3838
(501) 223-2554
Mailing address
12501 CANTRELL ROAD, LITTLE ROCK, AR 72223
(501) 223-3838
(501) 223-2554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3400
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416472
UNITED CONCORDIA
AR
01
—
3400
DELTA DENTAL OF AR
AR
01
—
5F438
BCBS OF AR
AR
01
—
5X091
BCBS OF AR
AR
Enumeration date
12/18/2006
Last updated
07/08/2007
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