Individual
PAUL TEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(501) 987-7304
Mailing address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(015) 987-7304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2971
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119232608
—
AR
Enumeration date
10/18/2006
Last updated
11/03/2021
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