Organization
DR. BRADLEY JORDAN SLAUGHTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JORDAN SLAUGHTER D.D.S. (OWNER/ DENTIST)
(870) 793-7520
Entity
Organization
Contact information
Practice address
3401 HARRISON ST, BATESVILLE, AR 72501-8820
(870) 793-7520
(870) 793-2662
Mailing address
3401 HARRISON ST, BATESVILLE, AR 72501-8820
(870) 793-7520
(870) 793-2662
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186342608
—
AR
Enumeration date
08/11/2020
Last updated
08/11/2020
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