Dermott School Dental Clinic | |
525 E Speedway St Dermott AR 71638-2322 | |
(870) 538-5414 | |
(870) 538-5412 |
Full Name | Dermott School Dental Clinic |
---|---|
Speciality | Clinic/center - Dental |
Location | 525 E Speedway St, Dermott, Arkansas |
Authorized Official Name and Position | Gary A Nichols (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8705385414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dermott School Dental Clinic 106 E Speedway St Po Box 509 Dermott AR 71638-2317 Ph: (870) 538-5414 | Dermott School Dental Clinic 525 E Speedway St Dermott AR 71638-2322 Ph: (870) 538-5414 |
NPI Number | 1891245809 |
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Provider Enumeration Date | 10/13/2016 |
Last Update Date | 06/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891245809 | NPI | - | NPPES |
217955631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mainline Dermott Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-9720 Fax: 870-538-9701 | |
Marvin D. Loyd, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E Gaines St, Dermott, AR 71638 Phone: 870-538-2046 Fax: 870-538-3609 |