Organization
NORTHWEST ARKANSAS ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization
NORTHWEST ARKANSAS ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA RUSSELL CROSS DDS (OWNER)
(479) 966-4004
Entity
Organization
Contact information
Practice address
163 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703-4974
(479) 966-4004
(479) 935-4004
Mailing address
163 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703-4974
(479) 966-4004
(479) 935-4004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3491
AR
Other
Enumeration date
01/18/2008
Last updated
01/22/2015
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