| Bill C.w. Dill Iii Dds | |
|
2646 E Joyce Blvd Ste 1 Fayetteville AR 72703-4435 | |
| (479) 443-4440 | |
| (479) 443-4450 |
| Full Name | Bill C.w. Dill Iii Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2646 E Joyce Blvd Ste 1, Fayetteville, Arkansas |
| Authorized Official Name and Position | Bill Cw Dill (OWNER/DENTIST) |
| Authorized Official Contact | 4794434440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill C.w. Dill Iii Dds 2646 E Joyce Blvd Ste 1 Fayetteville AR 72703-4435 Ph: (479) 443-4440 | Bill C.w. Dill Iii Dds 2646 E Joyce Blvd Ste 1 Fayetteville AR 72703-4435 Ph: (479) 443-4440 |
| NPI Number | 1710117734 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 07/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710117734 | NPI | - | NPPES |
| 58122 | Other | AR | BLUE CROSS BLUE SHIELD |
| 160839608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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