| River Dental Farmington, Pllc | |
|
82 Southwinds Rd Farmington AR 72730-8677 | |
| (479) 267-2266 | |
| (479) 267-4480 |
| Full Name | River Dental Farmington, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 82 Southwinds Rd, Farmington, Arkansas |
| Authorized Official Name and Position | Anne Joelle Demmy (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Dental Farmington, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | River Dental Farmington, Pllc 82 Southwinds Rd Farmington AR 72730-8677 Ph: (479) 267-2266 |
| NPI Number | 1447792759 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447792759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
John C. Bain, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Southwinds Rd, Farmington, AR 72730 Phone: 479-267-4900 | |
Gavin Trogdon Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 W Main St, Farmington, AR 72730 Phone: 479-267-5009 Fax: 479-267-5029 | |
Tiffani A, Long Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 W Main St, Farmington, AR 72730 Phone: 479-267-5009 Fax: 479-267-5029 |