Organization
AXPM- JACKSONVILLE DENTAL PLLC
Active
Other names
Rock Family Dental- Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HILLER (MANAGER)
(501) 781-2777
Entity
Organization
Contact information
Practice address
1405 BRADEN ST, JACKSONVILLE, AR 72076-3720
(501) 241-2345
(501) 985-8010
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450
(501) 781-2777
(501) 781-2778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/07/2016
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