| Icd Inc | |
|
320 E 7th St Mountain Home AR 72653-4416 | |
| (870) 425-1441 | |
| (870) 425-1445 |
| Full Name | Icd Inc |
|---|---|
| Speciality | Dentist |
| Location | 320 E 7th St, Mountain Home, Arkansas |
| Authorized Official Name and Position | Irvin Matthew Deatley (OWNER) |
| Authorized Official Contact | 8704251441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icd Inc 320 E 7th St Mountain Home AR 72653-4416 Ph: (870) 425-1441 | Icd Inc 320 E 7th St Mountain Home AR 72653-4416 Ph: (870) 425-1441 |
| NPI Number | 1306060850 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306060850 | NPI | - | NPPES |
| 161452631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3573 (Arkansas) | Primary |
Axpm-mountain Home Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Hospital Dr, Mountain Home, AR 72653 Phone: 870-425-9757 | |
Natural Smiles Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2338 Highway 62 W, Mountain Home, AR 72653 Phone: 870-424-4670 | |
Paul Reese Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S College St, Mountain Home, AR 72653 Phone: 870-424-5900 Fax: 870-424-5906 | |
Bradley Wayne Coleman,d.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Highway 5 North, Suite #10, Mountain Home, AR 72653 Phone: 870-424-4670 Fax: 870-425-4674 | |
Dover And Hart Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S College St Ste 1, Mountain Home, AR 72653 Phone: 870-425-4777 | |
Randy Simpson, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 S College St, Mountain Home, AR 72653 Phone: 870-424-4646 Fax: 870-424-3128 |