Whalio Doctors

NPI 1003302761

Southern Dental of Fort Smith PLLC

Organisation General Practice Dentistry Fort Smith, AR

Practice location

Address
4208 Jenny Lind Rd, Fort Smith, AR 72901-7660
Phone
(479) 782-3400
Mailing address
100 E Huntington Ave STE E, Jonesboro, AR 72401-2900

Authorised official

Name
William Reynolds Little
Title
Owner
Phone
(870) 243-4406

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3930 (AR)

Registry record

NPI
1003302761
Entity type
Organization
NPI issued
6 Jul 2018
Record last updated
6 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.