NPI 1609234269

Bethel Burris Oliver

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Paragould, AR

Practice location

Address: 2713 W Kings Highway, Paragould, AR 72450
Phone: (479) 445-6335
Fax: (479) 301-2878
Mailing address: 4375 N Vantage Dr Suite 202, Fayetteville, AR 72703-4982

Authorised official

Name: Benjamin Burris
Title: Owner
Phone: (479) 445-6335

Registered specialties (4)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

Other Dentist providers in Arkansas →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Registry record

NPI: 1609234269
Entity type: Organization
NPI issued: 10 Feb 2016
Record last updated: 10 Feb 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.