| Dardanelle Family Dentistry | |
|
2533 State Highway 22 W Dardanelle AR 72834-8831 | |
| (479) 229-3891 | |
| Not Available |
| Full Name | Dardanelle Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2533 State Highway 22 W, Dardanelle, Arkansas |
| Authorized Official Name and Position | Katie Elizabeth Crow-goates (OWNER) |
| Authorized Official Contact | 4792293891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dardanelle Family Dentistry Po Box 447 Dardanelle AR 72834-0447 Ph: (479) 229-3891 | Dardanelle Family Dentistry 2533 State Highway 22 W Dardanelle AR 72834-8831 Ph: (479) 229-3891 |
| NPI Number | 1508246489 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508246489 | NPI | - | NPPES |
| 4037 | Other | AR | ASBDE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Mccormick Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 State Highway 7 N, Dardanelle, AR 72834 Phone: 479-229-3150 Fax: 479-229-1177 |