| Leap Kids Dental- Jonesboro | |
|
1150 E Matthews Ave Ste 102 Jonesboro AR 72401-4346 | |
| (870) 931-5437 | |
| Not Available |
| Full Name | Leap Kids Dental- Jonesboro |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1150 E Matthews Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Mark Dake (OWNER) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leap Kids Dental- Jonesboro Po Box 3450 Little Rock AR 72203-3450 Ph: (501) 781-2777 | Leap Kids Dental- Jonesboro 1150 E Matthews Ave Ste 102 Jonesboro AR 72401-4346 Ph: (870) 931-5437 |
| NPI Number | 1861937518 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861937518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Arkansas) | Primary |
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