| Jason Timmons, DDS, PA | |
|
4301 S Mulberry St Ste A Pine Bluff AR 71603-7005 | |
| (870) 535-5616 | |
| (870) 535-5628 |
| Full Name | Jason Timmons, DDS, PA |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4301 S Mulberry St Ste A, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Jason Eric Timmons (ORTHODONTIST) |
| Authorized Official Contact | 8705355616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Timmons, DDS, PA 4301 S Mulberry St Ste A Pine Bluff AR 71603-7005 Ph: (870) 535-5616 | Jason Timmons, DDS, PA 4301 S Mulberry St Ste A Pine Bluff AR 71603-7005 Ph: (870) 535-5616 |
| NPI Number | 1053525642 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053525642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3430 (Arkansas) | Primary |
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