Organization
DOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY
Active
Other names
Dover Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DOVER DDS (OWNER/ DENTIST)
(870) 530-0881
Entity
Organization
Contact information
Practice address
400 S COLLEGE ST STE 4, MOUNTAIN HOME, AR 72653-3991
(870) 425-4777
Mailing address
400 S COLLEGE ST STE 4, MOUNTAIN HOME, AR 72653-3991
(870) 425-4777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177569608
—
AR
Enumeration date
05/18/2020
Last updated
05/18/2020
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