| Dental Clinic | |
|
1101 Tennessee St Pine Bluff AR 71601-5801 | |
| (870) 543-2341 | |
| (870) 535-4716 |
| Full Name | Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1101 Tennessee St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Larnell W Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8705432380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic Po Box 1285 Pine Bluff AR 71613-1285 Ph: (870) 543-2341 | Dental Clinic 1101 Tennessee St Pine Bluff AR 71601-5801 Ph: (870) 543-2341 |
| NPI Number | 1023277746 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023277746 | NPI | - | NPPES |
| 102953631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
Garrett Taylor, DDS, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 S Olive St, Pine Bluff, AR 71603 Phone: 870-536-6917 |
Oral Surgery and Wisdom Teeth of Pine Bluff Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 W 28th Ave, Pine Bluff, AR 71603 Phone: 337-541-2260 |
Jason Timmons, DDS, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 S Mulberry St Ste A, Pine Bluff, AR 71603 Phone: 870-535-5616 Fax: 870-535-5628 |
Sunnybrook Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 S Olive St, Pine Bluff, AR 71603 Phone: 770-916-9000 Fax: 678-302-7485 |
Ft Mcdonald DDS Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 S Olive St, Pine Bluff, AR 71603 Phone: 870-536-6430 |
W.jim Moore, Jr. D.d.s.,ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3024 S Olive St, Pine Bluff, AR 71603 Phone: 870-536-2650 Fax: 870-536-3820 |