| Gentle Dental Of Siloam Springs Pa | |
|
1675 W Jefferson Suite B Siloan Springs AR 72761 | |
| (479) 524-6182 | |
| (479) 549-3399 |
| Full Name | Gentle Dental Of Siloam Springs Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1675 W Jefferson, Siloan Springs, Arkansas |
| Authorized Official Name and Position | Michelle Wood (OFFICE MANAGER) |
| Authorized Official Contact | 4795246182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Of Siloam Springs Pa 1675 W Jefferson Suite B Po Box 582 Siloan Springs AR 72761 Ph: (479) 524-6182 | Gentle Dental Of Siloam Springs Pa 1675 W Jefferson Suite B Siloan Springs AR 72761 Ph: (479) 524-6182 |
| NPI Number | 1053572784 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053572784 | NPI | - | NPPES |
| 200254370A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |