AXPM-MOUNTAIN HOME DENTAL NPI 1124563895

NPI Information

AXPM-MOUNTAIN HOME DENTAL is a general practice dentist in Mountain Home, 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. AXPM-MOUNTAIN HOME DENTAL NPI is 1124563895. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

500 HOSPITAL DR
MOUNTAIN HOME, AR
ZIP 72653-913
Phone: (870) 425-9757

The provider's authorized official is Mark Dake .
The authorized official title is Owner and has the following contact phone number (501) 781-2777.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/4/2017.

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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