| New Image Dental, Pllc | |
|
540 N 13th St Rogers AR 72756-3432 | |
| (479) 636-4351 | |
| (479) 631-6988 |
| Full Name | New Image Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 540 N 13th St, Rogers, Arkansas |
| Authorized Official Name and Position | John Andrew Baxter (GENERAL DENTIST) |
| Authorized Official Contact | 4796364351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dental, Pllc 540 North 13th St. Rogers AR 72756 Ph: (479) 636-4351 | New Image Dental, Pllc 540 N 13th St Rogers AR 72756-3432 Ph: (479) 636-4351 |
| NPI Number | 1407035892 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407035892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3225 (Arkansas) | Primary |
| 1223G0001X | Dentist - General Practice | 3527 (Arkansas) | Secondary |
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