Individual
JACK REID FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
82 SOUTHWINDS RD, FARMINGTON, AR 72730-8677
(479) 267-2266
(479) 267-4880
Mailing address
6791 GARDEN TRAIL AVE, SPRINGDALE, AR 72762-7048
(501) 412-2717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62432
KS
1223G0001X
General Practice Dentistry
Primary
4591
AR
Other
Enumeration date
05/26/2022
Last updated
09/11/2025
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