Individual
DR. MICHAEL DEAN KERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
180 MAIN STREET, MAMMOTH SPRING, AR 72554
(870) 625-3262
(870) 625-3673
Mailing address
PO BOX 128, MAMMOTH SPRING, AR 72554-0128
(870) 625-3262
(870) 625-3673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2661
AR
Other
Enumeration date
08/29/2006
Last updated
07/09/2007
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