NPI 1083869911

Weekend Dental Clinic

Organisation General Practice Dentistry Fort Smith, AR

Practice location

Address: 5111 Rogers Ave Suite 207, Fort Smith, AR 72903-2047
Phone: (479) 719-0753
Mailing address: 3200 Rogers Ave Suite 111, Fort Smith, AR 72903-2954

Authorised official

Name: Charles Gregory Liggett
Title: Owner
Phone: (479) 719-0753

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3478 (AR)

Other Dentist providers in Arkansas →

Registry record

NPI: 1083869911
Entity type: Organization
NPI issued: 19 Nov 2008
Record last updated: 19 Nov 2008

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.