Organization
RICHARD A STATON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN STATON DDS (PRESIDENT)
(479) 452-1738
Entity
Organization
Contact information
Practice address
2420 S 51ST CT, SUITE B, FORT SMITH, AR 72903-3669
(479) 452-1738
(479) 452-2145
Mailing address
2420 S 51ST CT, SUITE B, FORT SMITH, AR 72903-3669
(479) 452-1738
(479) 452-2145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2566
AR
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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