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Jim Blanchard Dds Pa
Dental Clinic/Center in Berryville, Arkansas
NPI 1760809537

Jim Blanchard Dds Pa is a Dental Clinic/Center based in Berryville, AR and is specialized in Dental. Jim Blanchard Dds Pa practices in Berryville, AR. The NPI Number for Jim Blanchard Dds Pa is 1760809537 and holds a License No. 2381 (Arkansas).

The current practice location address for Jim Blanchard Dds Pa is 201 Rice St, Berryville, AR and can be reached out via phone at 870-423-6963 and via fax at 870-423-2109.

Location: 201 Rice St, Berryville, AR, 72616-4388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760809537
Provider Name
Jim Blanchard Dds Pa
Credential
Provider Entity Type
Organization
Address
201 Rice St, Berryville, AR, 72616-4388
Phone Number
870-423-6963
Fax Number
870-423-2109
Provider Enumeration Date
03/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104808608 05 AR
institution
Provider Business Practice Location Address Details
Address
201 Rice St
City
Berryville
State
Arkansas
Zip
72616-4388
Phone Number
870-423-6963
Fax Number
870-423-2109
person
Provider Business Mailing Address Details
Address
201 Rice St
City
Berryville
State
Arkansas
Zip
72616-4388
Phone Number
870-423-6963
Fax Number
870-423-2109
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2381 (Arkansas)
Definition
Definition to come...
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