Individual
CHARLES RICHARD CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 733-6388
(870) 732-1940
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 733-6331
(870) 732-1940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2311
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101970608
—
AR
Enumeration date
03/01/2006
Last updated
02/04/2016
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