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Organization

JEFFREY C. FUSILIER, DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFF FUSILIER (PRESIDENT)
(501) 922-6700
Entity
Organization

Contact information

Practice address
101 DENTISTA DR, HOT SPRINGS VILLAGE, AR 71909-3503
(501) 922-6700
Mailing address
101 DENTISTA DR, HOT SPRINGS VILLAGE, AR 71909-3503
(501) 922-6700

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
12/21/2006
Last updated
04/01/2025
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