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Individual

DR. SUMMER BARKER TYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
620 SOUTHWEST DR, JONESBORO, AR 72401-5859
(870) 336-9700
Mailing address
620 SOUTHWEST DR, JONESBORO, AR 72401-5859
(870) 336-9700

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3680
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168646608
AR
Enumeration date
07/15/2008
Last updated
09/27/2011
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