NPI 1043681448

Axpm Jonesboro, PLLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Jonesboro, AR

Practice location

Address: 2316 Red Wolf Blvd Suite C, Jonesboro, AR 72401-0000
Phone: (501) 781-2777
Mailing address: PO Box 24470, Little Rock, AR 72221-4470

Authorised official

Name: Bryan Hiller
Title: Owner
Phone: (501) 781-2777

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 3763 (AR)

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Registry record

NPI: 1043681448
Entity type: Organization
NPI issued: 12 Oct 2015
Record last updated: 12 Oct 2015

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.