MARION PEDIATRIC DENTISTRY PLLC NPI 1356502405

NPI Information

MARION PEDIATRIC DENTISTRY, PLLC is a dental clinic center in Marion, AR. MARION PEDIATRIC DENTISTRY, PLLC NPI is 1356502405. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Dental Group.

The provider's business location address is:

303 BANCARIO
SUITE 11-12
MARION, AR
ZIP 72364-832
Phone: (901) 497-5547

The provider's authorized official is John Michael Burrows .
The authorized official title is Owner and has the following contact phone number (901) 497-5547.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 10/16/2013.

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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