| Russell M. Gorman, Dds., Pa | |
|
308 West St Louis Street Hot Springs AR 71913 | |
| (501) 321-1977 | |
| (501) 321-1750 |
| Full Name | Russell M. Gorman, Dds., Pa |
|---|---|
| Speciality | Dentist |
| Location | 308 West St Louis Street, Hot Springs, Arkansas |
| Authorized Official Name and Position | Russell M Gorman (OWNER/PRESIDENT) |
| Authorized Official Contact | 5013211977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell M. Gorman, Dds., Pa 308 West St Louis Street Hot Springs AR 71913 Ph: (501) 321-1977 | Russell M. Gorman, Dds., Pa 308 West St Louis Street Hot Springs AR 71913 Ph: (501) 321-1977 |
| NPI Number | 1366688350 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 12/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366688350 | NPI | - | NPPES |
| 5T948 | Other | ABCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AR3238 (Arkansas) | Primary |
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