Individual
DR. CHARLES E. KAUFFMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 GRAHAM ST, FORDYCE, AR 71742-3230
(870) 352-2880
Mailing address
305 GRAHAM ST, FORDYCE, AR 71742-3230
(870) 352-2880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102071608
—
AR
Enumeration date
07/13/2006
Last updated
07/30/2024
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