Organization
DR. JOHNNY PEARCE
Active
Parent organization
ADVANCE DENTAL IMPLANT AND DENTURE CENTER,LLC
Other names
My Dentist
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE DENTAL IMPLANT AND DENTURE CENTER,LLC
Authorized official
JOHNNY PEARCE DDS (PC)
(479) 419-9991
Entity
Organization
Contact information
Practice address
3617 W SUNSET AVE, SPRINGDALE, AR 72762-4955
(479) 419-9991
Mailing address
PO BOX 702620, TULSA, OK 74170-2620
(405) 286-9024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3862
AR
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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