| Axpm- Highland Dental Pllc | |
|
1474 Highway 62 412 Highland AR 72542-9170 | |
| (501) 781-2777 | |
| (501) 781-2778 |
| Full Name | Axpm- Highland Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1474 Highway 62 412, Highland, Arkansas |
| Authorized Official Name and Position | Mark Dake (OWNER) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axpm- Highland Dental Pllc Po Box 3450 Little Rock AR 72203-3450 Ph: (501) 781-2777 | Axpm- Highland Dental Pllc 1474 Highway 62 412 Highland AR 72542-9170 Ph: (501) 781-2777 |
| NPI Number | 1063957728 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063957728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Arkansas) | Primary |
Highland Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1474 Highway 62 412, Highland, AR 72542 Phone: 870-856-4050 Fax: 870-856-4088 |