| Marty J. Harderson, Dds, Pa | |
|
1408 E Main St Clarksville AR 72830-9436 | |
| (479) 754-4076 | |
| (479) 754-4078 |
| Full Name | Marty J. Harderson, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1408 E Main St, Clarksville, Arkansas |
| Authorized Official Name and Position | Lisa Annette Alston (OFFICE MANAGER) |
| Authorized Official Contact | 4797544076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marty J. Harderson, Dds, Pa 1408 E Main St Clarksville AR 72830-9436 Ph: (479) 754-4076 | Marty J. Harderson, Dds, Pa 1408 E Main St Clarksville AR 72830-9436 Ph: (479) 754-4076 |
| NPI Number | 1720361470 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720361470 | NPI | - | NPPES |
| 117894608 | Medicaid | AR | |
| 1598701807 | Other | AR | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2952 (Arkansas) | Primary |
D. Blaine Leeds Dbldds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Poplar St, Clarksville, AR 72830 Phone: 479-754-3357 Fax: 479-754-0167 | |
Arkansas River Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Poplar St, Clarksville, AR 72830 Phone: 479-754-3357 Fax: 479-754-0167 | |
John F Rommel Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 S Rogers St, Clarksville, AR 72830 Phone: 479-754-6424 Fax: 479-754-5673 | |
Riverbend Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 S Rogers St, Clarksville, AR 72830 Phone: 479-754-6084 | |
Kerry Carlson Dds,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 W Main St Ste A, Clarksville, AR 72830 Phone: 479-754-2042 Fax: 479-754-2429 | |
Robert P. Smith, D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Cravens St, Clarksville, AR 72830 Phone: 479-754-3230 Fax: 479-754-3030 |