Organization
ROBERT P. SMITH, D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT POWELL SMITH D.D.S. (OWNER)
(479) 754-3230
Entity
Organization
Contact information
Practice address
105 N CRAVENS ST, CLARKSVILLE, AR 72830-3025
(479) 754-3230
(479) 754-3030
Mailing address
105 1/2 NORTH CRAVENS, CLARKSVILLE, AR 72830
(479) 754-3230
(479) 754-3230
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1721
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103088608
—
AR
Enumeration date
12/12/2008
Last updated
12/12/2008
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