| Star City High School Dental | |
|
400 E Arkansas St Star City AR 71667-4821 | |
| (870) 628-5110 | |
| (855) 854-6281 |
| Full Name | Star City High School Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 E Arkansas St, Star City, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8705385414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star City High School Dental Po Box 509 Dermott AR 71638-0509 Ph: (870) 538-5414 | Star City High School Dental 400 E Arkansas St Star City AR 71667-4821 Ph: (870) 628-5110 |
| NPI Number | 1174067888 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174067888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Star City Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Bradley St, Star City, AR 71667 Phone: 870-628-5131 | |
Jimmy Brown Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Ashley St., Star City, AR 71667 Phone: 650-419-2545 Fax: 855-854-6281 | |
Star City Community Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Kirkwood Rd, Star City, AR 71667 Phone: 870-628-5110 Fax: 855-854-6281 |