NPI 1154863637

West Memphis Pediatric Dentistry

Organisation Dental Clinic/Center Marion, AR

Practice location

Address: 303 Bancario STE 11-12, Marion, AR 72364-2825
Phone: (870) 739-2992
Fax: (870) 739-8597
Mailing address: 316 W Tyler Ave, West Memphis, AR 72301-4225

Authorised official

Name: John Michael Burrows
Title: Owner
Phone: (870) 739-2992

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 3647 (AR)

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1154863637
Entity type: Organization
NPI issued: 15 Nov 2016
Record last updated: 15 Nov 2016

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.