| Axpm Jonesboro, Pllc | |
|
2316 Red Wolf Blvd Suite C Jonesboro AR 72401-0000 | |
| (501) 781-2777 | |
| Not Available |
| Full Name | Axpm Jonesboro, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2316 Red Wolf Blvd, Jonesboro, Arkansas |
| Authorized Official Name and Position | Bryan Hiller (OWNER) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axpm Jonesboro, Pllc Po Box 24470 Little Rock AR 72221-4470 Ph: (501) 781-2777 | Axpm Jonesboro, Pllc 2316 Red Wolf Blvd Suite C Jonesboro AR 72401-0000 Ph: (501) 781-2777 |
| NPI Number | 1043681448 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043681448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3763 (Arkansas) | Primary |
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