| Randall S Hestir Dds Inc | |
|
1703 S Whitehead Dr Dewitt AR 72042 | |
| (870) 946-2013 | |
| (870) 946-1281 |
| Full Name | Randall S Hestir Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1703 S Whitehead Dr, Dewitt, Arkansas |
| Authorized Official Name and Position | Randall S Hestir (OWNER) |
| Authorized Official Contact | 8709462013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall S Hestir Dds Inc Po Drawer 512 1703 S Whitehead Dr Dewitt AR 72042 Ph: (870) 946-2013 | Randall S Hestir Dds Inc 1703 S Whitehead Dr Dewitt AR 72042 Ph: (870) 946-2013 |
| NPI Number | 1770796401 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 06/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770796401 | NPI | - | NPPES |
| 100922608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2266 (Missouri) | Primary |