Individual
DR. MICHAEL SCOTT DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3105 W MAIN ST, RUSSELLVILLE, AR 72801-2454
(479) 968-1001
(479) 968-4863
Mailing address
3105 WEST MAIN STREET, RUSSELLVILLE, AR 72801
(479) 968-1001
(479) 968-4863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3117
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912034810
—
AR
Enumeration date
02/27/2007
Last updated
06/12/2008
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