| Maxwell U. Fleming, Jr., DDS | |
|
3721 S Olive St Pine Bluff AR 71603 | |
| (870) 536-9800 | |
| (870) 536-9804 |
| Full Name | Maxwell U. Fleming, Jr., DDS |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3721 S Olive St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Maxwell Fleming (DENTIST) |
| Authorized Official Contact | 8705369800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell U. Fleming, Jr., DDS 3721 S Olive St Pine Bluff AR 71603-6756 Ph: (870) 536-9800 | Maxwell U. Fleming, Jr., DDS 3721 S Olive St Pine Bluff AR 71603 Ph: (870) 536-9800 |
| NPI Number | 1841717642 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841717642 | NPI | - | NPPES |
| 103050608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2513 (Arkansas) | Primary |
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