Organization
BETHEL BURRIS OLIVER PLLC
Active
Organization
BETHEL BURRIS OLIVER PLLC
Active
Other names
Arkansas Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BURRIS DDS, MDS (OWNER)
(479) 445-6335
Entity
Organization
Contact information
Practice address
2906 CYPRESS RD, ARKADELPHIA, AR 71923-4227
(501) 221-0004
(501) 219-0300
Mailing address
4375 N VANTAGE DR, SUITE 202, FAYETTEVILLE, AR 72703-4982
(479) 445-6335
(479) 301-2878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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