| Lifetime Dental | |
|
805 N 20th Pl Ste 2 Rogers AR 72756-3571 | |
| (479) 631-9393 | |
| (479) 986-0905 |
| Full Name | Lifetime Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 805 N 20th Pl Ste 2, Rogers, Arkansas |
| Authorized Official Name and Position | Michael Trent Gubler (OWNER) |
| Authorized Official Contact | 4796319393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental 805 N 20th Pl Ste 2 Rogers AR 72756-3571 Ph: (479) 631-9393 | Lifetime Dental 805 N 20th Pl Ste 2 Rogers AR 72756-3571 Ph: (479) 631-9393 |
| NPI Number | 1962827857 |
|---|---|
| Provider Enumeration Date | 02/28/2014 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962827857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3920 (Arkansas) | Primary |
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