Organization
MAXWELL U. FLEMING, JR., DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL FLEMING JR. DDS (DENTIST)
(870) 536-9800
Entity
Organization
Contact information
Practice address
3721 S OLIVE ST, PINE BLUFF, AR 71603
(870) 536-9800
(870) 536-9804
Mailing address
3721 S OLIVE ST, PINE BLUFF, AR 71603-6756
(870) 536-9800
(870) 536-9804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2513
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103050608
—
AR
Enumeration date
08/23/2017
Last updated
07/21/2022
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