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Pediatric Dentistry Of Eastern Arkansas
Pediatric Dentist in Forrest City, Arkansas
NPI 1922292531

Pediatric Dentistry Of Eastern Arkansas is a Pediatric Dentist based in Forrest City, AR and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Eastern Arkansas practices in Forrest City, AR. The NPI Number for Pediatric Dentistry Of Eastern Arkansas is 1922292531 and holds a License No. 3045 (Arkansas).

The current practice location address for Pediatric Dentistry Of Eastern Arkansas is 4941 N Washington Hwy 1, Forrest City, AR and can be reached out via phone at 870-630-1500 and via fax at 870-630-6405.

Location: 4941 N Washington Hwy 1, Forrest City, AR, 72335-3022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922292531
Provider Name
Pediatric Dentistry Of Eastern Arkansas
Credential
Provider Entity Type
Organization
Address
4941 N Washington Hwy 1, Forrest City, AR, 72335-3022
Phone Number
870-630-1500
Fax Number
870-630-6405
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59632 01 AR BLUE CROSS BLUE SHIELD
862131 01 AR UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
4941 N Washington Hwy 1
City
Forrest City
State
Arkansas
Zip
72335-3022
Phone Number
870-630-1500
Fax Number
870-630-6405
person
Provider Business Mailing Address Details
Address
4941 N Washington Hwy 1
City
Forrest City
State
Arkansas
Zip
72335-3022
Phone Number
870-630-1500
Fax Number
870-630-6405
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3045 (Arkansas)
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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