Individual
DR. JAMES HARRIS FLANAGIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 LOCUST ST, CONWAY, AR 72034-5331
(501) 327-4466
(501) 327-4495
Mailing address
PO BOX 1628, CONWAY, AR 72033-1628
(501) 327-4466
(501) 327-4495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3124
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005302
UNITED CONCORDIA
AR
01
—
59994
BLUE CROSS BLUE SHIELD
AR
01
—
717529
KANSAS BLUE CROSS BLUE SH
KS
Enumeration date
04/18/2007
Last updated
07/08/2007
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