FORREST G. BALE DDS ORAL AND MAXILLOFACIAL SURGERY PA NPI 1568715175

NPI Information

FORREST G. BALE, DDS ORAL AND MAXILLOFACIAL SURGERY PA is a dental clinic center in Russellville, AR. FORREST G. BALE, DDS ORAL AND MAXILLOFACIAL SURGERY PA NPI is 1568715175. The provider is registered as an organization entity type.

The provider's business location address is:

319 S GLENWOOD AVE
RUSSELLVILLE, AR
ZIP 72801-906
Phone: (479) 968-1334
Fax: (479) 968-8912

The provider's authorized official is Forrest Garnett Bale .
The authorized official title is Owner and has the following contact phone number (479) 968-1334.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 12/30/2020.

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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