| Mydentist-forth Smith | |
|
6323 Rogers Ave Fort Smith AR 72903-3945 | |
| (479) 434-5888 | |
| Not Available |
| Full Name | Mydentist-forth Smith |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6323 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-forth Smith 6323 Rogers Ave Fort Smith AR 72903-3945 | Mydentist-forth Smith 6323 Rogers Ave Fort Smith AR 72903-3945 Ph: (479) 434-5888 |
| NPI Number | 1760802763 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760802763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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