NPI 1063820215

Bold Dental Partners, PLLC Ft. Smith

Organisation General Practice Dentistry Fort Smith, AR

Practice location

Address: 8309 Phoenix Ave, Fort Smith, AR 72903-6141
Phone: (479) 484-7645
Fax: (479) 484-1551

Authorised official

Name: Jaclyn White
Title: Credentialing Manager
Phone: (479) 717-1047

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3242 (AR)

Other Dentist providers in Arkansas →

Registry record

NPI: 1063820215
Entity type: Organization
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.