Individual
DR. PAUL D FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 W HOLLY, SHERIDAN, AR 72150
(870) 942-2822
(870) 942-5816
Mailing address
PO BOX 116, SHERIDAN, AR 72150-0116
(870) 942-2822
(870) 942-5816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1701
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58181
BLUE CROSS BLUE SHIELD
AR
01
—
835736
UNITED CONCORDIA
AR
Enumeration date
09/15/2006
Last updated
02/25/2010
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