Organization
OZARK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S KILLINGSWORTH DMD (OWNER)
(479) 886-0591
Entity
Organization
Contact information
Practice address
2125 E MAIN ST, SUITE #13, SILOAM SPRINGS, AR 72761-5571
(479) 886-0591
Mailing address
2125 E MAIN ST, SUITE #13, SILOAM SPRINGS, AR 72761-5571
(479) 886-0591
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3817
AR
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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