Organization
D&M DENTISTRY, LLC
Active
Other names
Perryville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY RANDALL DIXON DDS (OWNER/DDS)
(501) 977-3393
Entity
Organization
Contact information
Practice address
810 N FOURCHE AVE, PERRYVILLE, AR 72126-8546
(501) 977-3393
Mailing address
810 N FOURCHE AVE, PERRYVILLE, AR 72126-8546
(501) 977-3393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187603608
—
AR
Enumeration date
11/14/2018
Last updated
11/14/2018
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