| Highland Family Dentistry, Inc. | |
|
1474 Highway 62 412 Highland AR 72542-9170 | |
| (870) 856-4050 | |
| (870) 856-4088 |
| Full Name | Highland Family Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1474 Highway 62 412, Highland, Arkansas |
| Authorized Official Name and Position | Matthew Grant Williams (PRESIDENT) |
| Authorized Official Contact | 8708564050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Family Dentistry, Inc. 1474 Highway 62 412 Highland AR 72542-9170 Ph: (870) 856-4050 | Highland Family Dentistry, Inc. 1474 Highway 62 412 Highland AR 72542-9170 Ph: (870) 856-4050 |
| NPI Number | 1225242464 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225242464 | NPI | - | NPPES |
| 146516631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3392 (Tennessee) | Primary |
Axpm- Highland Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1474 Highway 62 412, Highland, AR 72542 Phone: 501-781-2777 Fax: 501-781-2778 |