Organization
PREMIER DENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN SARGENT (OFFICE MANAGER)
(479) 251-9000
Entity
Organization
Contact information
Practice address
1438 E. AUGUSTINE LANE, SUITE 1, FAYETTEVILLE, AR 72703-4943
(479) 251-9000
(479) 251-9002
Mailing address
1438 E. AUGUSTINE LANE, SUITE 1, FAYETTEVILLE, AR 72703-4943
(479) 251-9000
(479) 251-9002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3473
AR
Other
Enumeration date
02/11/2014
Last updated
03/29/2016
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