| Lafayette County Dental Clinic, Inc. | |
|
506 Thomas St Stamps AR 71860-2540 | |
| (202) 276-6329 | |
| Not Available |
| Full Name | Lafayette County Dental Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 506 Thomas St, Stamps, Arkansas |
| Authorized Official Name and Position | Giles Willis (PRESIDENT) |
| Authorized Official Contact | 2022766329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette County Dental Clinic, Inc. 506 Thomas St Stamps AR 71860-2540 Ph: (202) 276-6329 | Lafayette County Dental Clinic, Inc. 506 Thomas St Stamps AR 71860-2540 Ph: (202) 276-6329 |
| NPI Number | 1477148542 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477148542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |