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Ut Pediatric Dentistry
Pediatric Dentist in West Memphis, Arkansas
NPI 1407988116

Ut Pediatric Dentistry is a Pediatric Dentist based in West Memphis, AR and is specialized in Pediatric Dentistry. Ut Pediatric Dentistry practices in West Memphis, AR. The NPI Number for Ut Pediatric Dentistry is 1407988116 and holds a License No. (Arkansas).

The current practice location address for Ut Pediatric Dentistry is 200 W Tyler Ave, West Memphis, AR and can be reached out via phone at 870-733-3854 and via fax at 870-733-3851.

Location: 200 W Tyler Ave, West Memphis, AR, 72301-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407988116
Provider Name
Ut Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
200 W Tyler Ave, West Memphis, AR, 72301-4223
Phone Number
870-733-3854
Fax Number
870-733-3851
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
150226608 05 AR
107199608 05 AR
111494608 05 AR
institution
Provider Business Practice Location Address Details
Address
200 W Tyler Ave
City
West Memphis
State
Arkansas
Zip
72301-4223
Phone Number
870-733-3854
Fax Number
870-733-3851
person
Provider Business Mailing Address Details
Address
200 W Tyler Ave
City
West Memphis
State
Arkansas
Zip
72301-4223
Phone Number
870-733-3854
Fax Number
870-733-3851
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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