SOUTHERN DENTAL GROUP BALD KNOB PLLC NPI 1073987483

NPI Information

SOUTHERN DENTAL GROUP BALD KNOB, PLLC is a general practice dentist in Bald Knob, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOUTHERN DENTAL GROUP BALD KNOB, PLLC NPI is 1073987483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2802 HIGHWAY 367 N
BALD KNOB, AR
ZIP 72010-165
Phone: (870) 243-4406

The provider's authorized official is William Reynolds Little .
The authorized official title is Owner/dentist and has the following contact phone number (870) 243-4406.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 11/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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