| Gravette Dental Associates Pllc | |
|
1102 Jackson St Sw Gravette AR 72736-9121 | |
| (479) 736-2800 | |
| Not Available |
| Full Name | Gravette Dental Associates Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1102 Jackson St Sw, Gravette, Arkansas |
| Authorized Official Name and Position | Alan Lee Lamb (OWNER) |
| Authorized Official Contact | 4797362800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gravette Dental Associates Pllc Po Box 125 Gravette AR 72736-0125 Ph: (479) 736-2800 | Gravette Dental Associates Pllc 1102 Jackson St Sw Gravette AR 72736-9121 Ph: (479) 736-2800 |
| NPI Number | 1386129955 |
|---|---|
| Provider Enumeration Date | 09/30/2018 |
| Last Update Date | 09/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386129955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |