Organization
CLARKSVILLE DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC K MUNCY D.D.S. (OWNER)
(479) 754-8818
Entity
Organization
Contact information
Practice address
307 E MAIN ST, CLARKSVILLE, AR 72830-3725
(479) 754-8818
(479) 754-6790
Mailing address
307 E MAIN ST, CLARKSVILLE, AR 72830-3725
(479) 754-8818
(479) 754-6790
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2332
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118410608
—
AR
Enumeration date
12/10/2008
Last updated
12/10/2008
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