Individual
DR. REBECCA SHAYNE CONINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
419 N CENTER, LONOKE, AR 72086
(501) 676-2808
(501) 676-9137
Mailing address
PO BOX 9, LONOKE, AR 72086
(515) 676-2808
(501) 676-9137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3058
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58846
BCBS
AR
01
—
754665
AB UNITED CONCORDIA
—
Enumeration date
09/22/2006
Last updated
07/08/2007
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