Individual
DR. BLAKE B SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2616 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4968
(501) 268-8669
Mailing address
2616 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4968
(501) 268-8669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3668
AR
Other
Enumeration date
05/13/2008
Last updated
06/12/2008
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