| Community Dental Clinic | |
|
109 No. 17th Fort Smith AR 72901 | |
| (479) 782-6021 | |
| (479) 709-0161 |
| Full Name | Community Dental Clinic |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 109 No. 17th, Fort Smith, Arkansas |
| Authorized Official Name and Position | Mark Whitmer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4797852303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Clinic Po Box 4069 Fort Smith AR 72914-4069 Ph: (479) 785-2303 | Community Dental Clinic 109 No. 17th Fort Smith AR 72901 Ph: (479) 782-6021 |
| NPI Number | 1558588764 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 10/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558588764 | NPI | - | NPPES |
| 101872002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (Arkansas) | Primary |
| 302R00000X | Health Maintenance Organization | 101872002 (Arkansas) | Secondary |
Southern Dental Of Fort Smith Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4208 Jenny Lind Rd, Fort Smith, AR 72901 Phone: 479-782-3400 | |
Bold Dental Partners, Pllc Ft. Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8309 Phoenix Ave, Fort Smith, AR 72903 Phone: 479-484-7645 Fax: 479-484-1551 | |
Charles G. Liggett, Jr. Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Rogers Ave, Suite 207, Fort Smith, AR 72903 Phone: 479-719-0753 | |
R & S Dental Services Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 Euper Ln, Suite B, Fort Smith, AR 72903 Phone: 479-650-3257 Fax: 479-478-6122 | |
Cole J. Johnson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 S 51st Ct, Fort Smith, AR 72903 Phone: 479-452-2995 | |
Kids Choice Fort Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd, Suite 200, Fort Smith, AR 72903 Phone: 479-452-8650 | |
Moore Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2913 South 74th Street, Fort Smith, AR 72903 Phone: 479-484-5050 Fax: 479-484-5052 |