| Main Street Dental Pllc | |
|
312 S Main St Bentonville AR 72712-5903 | |
| (479) 254-6899 | |
| (479) 254-6749 |
| Full Name | Main Street Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 312 S Main St, Bentonville, Arkansas |
| Authorized Official Name and Position | Benjamin D. Hall (MEMBER/MANAGER) |
| Authorized Official Contact | 4792546899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Pllc 312 S Main St Bentonville AR 72712-5903 Ph: (479) 254-6899 | Main Street Dental Pllc 312 S Main St Bentonville AR 72712-5903 Ph: (479) 254-6899 |
| NPI Number | 1972930295 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3599 (Arkansas) | Primary |
Arkansas Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Se Walton Blvd, Suite 10-12, Bentonville, AR 72712 Phone: 479-445-6335 Fax: 479-301-2878 | |
Steven D. Kimbrough Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Se 14th St., Bentonville, AR 72712 Phone: 479-271-2299 | |
Arkansas Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Se Walton Blvd, Suite 42, Bentonville, AR 72712 Phone: 479-271-9944 Fax: 479-271-9945 | |
Walton Blvd Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Walton Blvd, Bentonville, AR 72712 Phone: 479-273-3757 Fax: 479-273-3758 | |
Dr. Kenneth Thompson D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Se G St, Suite 9, Bentonville, AR 72712 Phone: 479-273-5345 Fax: 479-273-5335 | |
Pate Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 Se J St Suite 6, Bentonville, AR 72712 Phone: 479-254-8111 Fax: 479-254-8112 | |
Behrents Endodontics Specialists, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Se Plaza Ave Ste 2, Bentonville, AR 72712 Phone: 479-445-6884 |