| R K Girlinghouse Dds Pa | |
|
2307 S Zero St Ste 103 Fort Smith AR 72901-8675 | |
| (479) 646-4499 | |
| (479) 646-9029 |
| Full Name | R K Girlinghouse Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 2307 S Zero St Ste 103, Fort Smith, Arkansas |
| Authorized Official Name and Position | Ronald Girlinghouse (OWNER) |
| Authorized Official Contact | 4796464499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R K Girlinghouse Dds Pa 2307 Zero St Suite #103 Fort Smith AR 72901-8643 Ph: (479) 646-4499 | R K Girlinghouse Dds Pa 2307 S Zero St Ste 103 Fort Smith AR 72901-8675 Ph: (479) 646-4499 |
| NPI Number | 1831216977 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 1456735786 |
|---|---|
| Medicare Enrollment ID | O20220905000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831216977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Ronald K Girlinghouse |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285636027 PECOS PAC ID: 8527364603 Enrollment ID: I20220905000213 |
| Provider Name | Roy L Bratton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477655561 PECOS PAC ID: 6204139397 Enrollment ID: I20220905000297 |
| Provider Name | Paige L Linson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942430012 PECOS PAC ID: 6709190994 Enrollment ID: I20220912001151 |
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