| Southern Dental Group Bald Knob, Pllc | |
|
2802 Highway 367 N Bald Knob AR 72010-3165 | |
| (870) 243-4406 | |
| Not Available |
| Full Name | Southern Dental Group Bald Knob, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2802 Highway 367 N, Bald Knob, Arkansas |
| Authorized Official Name and Position | William Reynolds Little (OWNER/DENTIST) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Group Bald Knob, Pllc Po Box 17151 Jonesboro AR 72403-6720 Ph: (870) 243-4406 | Southern Dental Group Bald Knob, Pllc 2802 Highway 367 N Bald Knob AR 72010-3165 Ph: (870) 243-4406 |
| NPI Number | 1073987483 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073987483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3930 (Arkansas) | Primary |
Arcare 14 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Highway 367 N, Bald Knob, AR 72010 Phone: 870-347-2534 Fax: 870-347-3492 |