Individual
DR. EDWIN KYLE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2415 PRINCE STREET, CONWAY, AR 72034-3746
(501) 327-6453
(501) 327-0242
Mailing address
2415 PRINCE STREET, CONWAY, AR 72034-3746
(501) 327-6453
(501) 327-0242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2841
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155222
UNITED CONCORDIA
AR
01
—
58014
BCBS
AR
Enumeration date
10/03/2006
Last updated
07/08/2007
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