Individual
DR. KEITH F. HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
521 SOUTHWEST DR STE B, JONESBORO, AR 72401-5812
(870) 935-6140
(870) 935-9840
Mailing address
521 SOUTHWEST DR STE B, JONESBORO, AR 72401-5812
(870) 935-6140
(870) 935-9840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2784
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59392
BLUE CROSS BLUE SHIELD
AR
01
—
831488
UNITED CONCORDIA
AR
Enumeration date
10/31/2006
Last updated
07/08/2007
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