Organization
JAMEY C. TINNIN D.D.S. ENDODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA CUSHMAN (OFFICE MANAGER)
(479) 957-2443
Entity
Organization
Contact information
Practice address
1680 E JOYCE BLVD, FAYETTEVILLE, AR 72703-6214
(479) 957-2443
Mailing address
1680 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-6214
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3148
AR
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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