| Pediatric Dentistry Of Eastern Arkansas | |
|
4941 N Washington Hwy 1 Forrest City AR 72335-3022 | |
| (870) 630-1500 | |
| (870) 630-6405 |
| Full Name | Pediatric Dentistry Of Eastern Arkansas |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4941 N Washington Hwy 1, Forrest City, Arkansas |
| Authorized Official Name and Position | Shaorn Rae Franks (RDA/OFFICE MANAGER) |
| Authorized Official Contact | 8706301500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Eastern Arkansas 4941 N Washington Highway 1 Forrest City AR 72335-3022 Ph: (870) 630-1500 | Pediatric Dentistry Of Eastern Arkansas 4941 N Washington Hwy 1 Forrest City AR 72335-3022 Ph: (870) 630-1500 |
| NPI Number | 1922292531 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922292531 | NPI | - | NPPES |
| 59632 | Other | AR | BLUE CROSS BLUE SHIELD |
| 862131 | Other | AR | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3045 (Arkansas) | Primary |
K Michelle Imboden, Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Rosser St, Forrest City, AR 72335 Phone: 870-633-4591 Fax: 870-633-8460 | |
Graham Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Rosser St, Forrest City, AR 72335 Phone: 870-633-4591 | |
Dr Russell Berry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Division St, Forrest City, AR 72335 Phone: 870-633-4219 Fax: 870-633-4120 | |
J R Berry Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Division St, Forrest City, AR 72335 Phone: 870-633-4219 Fax: 870-633-4120 | |
Bethel Burris Oliver Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4941 N Washington St, Forrest City, AR 72335 Phone: 870-972-8294 Fax: 870-630-6405 | |
Andrea Denson-means Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E Cook St, Forrest City, AR 72335 Phone: 870-633-4894 Fax: 870-633-4965 |