| Monticello Dental Center Pllc | |
|
112 W Bradley St Star City AR 71667-5114 | |
| (870) 628-5131 | |
| Not Available |
| Full Name | Monticello Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 W Bradley St, Star City, Arkansas |
| Authorized Official Name and Position | Chad D Matone (OWNER/DENTIST) |
| Authorized Official Contact | 5012051084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Dental Center Pllc Po Box 241785 Little Rock AR 72223-0014 Ph: (501) 205-1084 | Monticello Dental Center Pllc 112 W Bradley St Star City AR 71667-5114 Ph: (870) 628-5131 |
| NPI Number | 1578079307 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 02/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578079307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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