Organization
SOUTHERN DENTAL OF RALEIGH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE DDS (OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
4283 RALEIGH MILLINGTON RD, MEMPHIS, TN 38128-2207
(901) 372-1221
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720
(870) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3930
AR
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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