Organization
ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC
Active
Organization
ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L BOLDING DDS (PRESIDENT)
(479) 434-4430
Entity
Organization
Contact information
Practice address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 434-4430
(479) 434-4438
Mailing address
PO BOX 524, LOWELL, AR 72745-0524
(479) 717-1171
(479) 725-2395
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3025
AR
Other
Enumeration date
01/23/2013
Last updated
09/10/2014
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