| Clarksville Dentistry, Inc. | |
|
307 E Main St Clarksville AR 72830-3725 | |
| (479) 754-8818 | |
| (479) 754-6790 |
| Full Name | Clarksville Dentistry, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 307 E Main St, Clarksville, Arkansas |
| Authorized Official Name and Position | Marc K Muncy (OWNER) |
| Authorized Official Contact | 4797548818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Dentistry, Inc. 307 E Main St Clarksville AR 72830-3725 Ph: (479) 754-8818 | Clarksville Dentistry, Inc. 307 E Main St Clarksville AR 72830-3725 Ph: (479) 754-8818 |
| NPI Number | 1831334457 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831334457 | NPI | - | NPPES |
| 118410608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2332 (Arkansas) | Primary |
D. Blaine Leeds Dbldds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Poplar St, Clarksville, AR 72830 Phone: 479-754-3357 Fax: 479-754-0167 | |
Leeds And Wisener Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 S Rogers St, Clarksville, AR 72830 Phone: 479-977-6453 Fax: 479-207-6678 | |
Arkansas River Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Poplar St, Clarksville, AR 72830 Phone: 479-754-3357 Fax: 479-754-0167 | |
John F Rommel Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 S Rogers St, Clarksville, AR 72830 Phone: 479-754-6424 Fax: 479-754-5673 | |
Benjamin G. Burris, Dds, Mds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 S Rogers St, Clarksville, AR 72830 Phone: 479-754-6084 | |
Kerry Carlson Dds,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 W Main St Ste A, Clarksville, AR 72830 Phone: 479-754-2042 Fax: 479-754-2429 | |
Marty J. Harderson, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 E Main St, Clarksville, AR 72830 Phone: 479-754-4076 Fax: 479-754-4078 |