| Summit Dental Care | |
|
3860 Highway 412 E Ste F Siloam Springs AR 72761-8499 | |
| (479) 524-9379 | |
| (479) 524-0976 |
| Full Name | Summit Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3860 Highway 412 E Ste F, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Peter Neilson Jeppsen (OWNER) |
| Authorized Official Contact | 4795249379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Care 3860 Highway 412 E Ste F Siloam Springs AR 72761-8499 Ph: (479) 524-9379 | Summit Dental Care 3860 Highway 412 E Ste F Siloam Springs AR 72761-8499 Ph: (479) 524-9379 |
| NPI Number | 1194157818 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194157818 | NPI | - | NPPES |
| 180792608 | Medicaid | AR | |
| 200268160A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3717 (Arkansas) | Primary |
Larry Vandyck Dds Holly Street Dentistry,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-0333 Fax: 479-524-0378 | |
Ronald Syler Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 S Mount Olive St, Suite B, Siloam Springs, AR 72761 Phone: 479-524-9610 Fax: 479-524-9610 | |
Brandon L Chavez Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N Progress Ave, Siloam Springs, AR 72761 Phone: 479-524-6441 | |
John R Holcomb Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 S Holly St, Siloam Springs, AR 72761 Phone: 479-549-4746 | |
Dr. Greg Walters And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-6441 Fax: 479-524-6440 | |
Bill Pickard, Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 East Hwy 412, Siloam Springs, AR 72761 Phone: 479-238-1004 Fax: 479-238-1009 |