| Pea Ridge Family Dentistry, Pllc | |
|
459 Slack Street Pea Ridge AR 72751 | |
| (405) 930-4100 | |
| Not Available |
| Full Name | Pea Ridge Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 459 Slack Street, Pea Ridge, Arkansas |
| Authorized Official Name and Position | Benjamin Bowman (OWNER) |
| Authorized Official Contact | 4052379289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pea Ridge Family Dentistry, Pllc 851 W I 35 Frontage Rd Ste 350 Edmond OK 73034-7472 Ph: () - | Pea Ridge Family Dentistry, Pllc 459 Slack Street Pea Ridge AR 72751 Ph: (405) 930-4100 |
| NPI Number | 1407742828 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407742828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Pea Ridge Family & Cosmetic Dentistry By Wisener, Cooper, & Fergus Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 N Curtis Ave, Pea Ridge, AR 72751 Phone: 479-488-6288 | |
Nicholas Edward Baioni, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 N Curtis Ave, Pea Ridge, AR 72751 Phone: 479-488-6288 | |
Chris R. Combs Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Slack St, Pea Ridge, AR 72751 Phone: 479-488-6131 Fax: 479-488-6215 |