| Ridge Dental Group Pllc | |
|
808 Highway 64 E Wynne AR 72396-7414 | |
| (870) 238-2600 | |
| Not Available |
| Full Name | Ridge Dental Group Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 808 Highway 64 E, Wynne, Arkansas |
| Authorized Official Name and Position | Kelli Ellen Vanhouten- Grubbs (PARTNER) |
| Authorized Official Contact | 8702382600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Dental Group Pllc 808 Highway 64 E Wynne AR 72396-7414 Ph: () - | Ridge Dental Group Pllc 808 Highway 64 E Wynne AR 72396-7414 Ph: (870) 238-2600 |
| NPI Number | 1972263739 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972263739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
George Scott Puryear, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 East Eldrdige Avenue, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Ricky L Price Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Merriman Ave E, Wynne, AR 72396 Phone: 870-238-9190 | |
Southern Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Killough Rd N, Wynne, AR 72396 Phone: 870-243-4406 | |
Neall Jackson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Eldridge Ave E, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Jacob Sutton, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Eldridge Ave E, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Mary Ann Weatherford Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Julia Ave E, Wynne, AR 72396 Phone: 870-238-2600 Fax: 870-238-5522 | |
Robert W Bassham Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 Addison Dr, Wynne, AR 72396 Phone: 870-238-7570 Fax: 870-238-1208 |