Organization
ROBERT E. NOSARI, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ELMO NOSARI D.D.S. (DENTIST)
(870) 425-6911
Entity
Organization
Contact information
Practice address
26 GREEN VALLEY DR, MOUNTAIN HOME, AR 72653-8102
(870) 425-6911
(870) 424-4891
Mailing address
26 GREEN VALLEY DR, MOUNTAIN HOME, AR 72653-8102
(870) 425-6911
(870) 424-4891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1789
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426266
UNITED CONCORDIA
AR
01
—
58903
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/28/2006
Last updated
08/22/2020
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