Organization
PAUL D FITZGERALD, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FITZGERALD (OWNER)
(870) 942-2822
Entity
Organization
Contact information
Practice address
209 W HOLLY ST, SHERIDAN, AR 72150-2425
(870) 942-2822
(870) 942-5816
Mailing address
PO BOX 116, SHERIDAN, AR 72150-0116
(870) 942-2822
(870) 942-5816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1701
AR
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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