Whalio Doctors

NPI 1073632220

Jill Elizabeth Self-Pike, DMD

Practitioner General Practice Dentistry Rogers, AR

Practice location

Address
3710 Southern Hills Blvd STE 700, Rogers, AR 72758-8094
Phone
(479) 254-8111
Fax
(479) 254-8112

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3403 (AR)

Registry record

NPI
1073632220
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Mar 2007
Record last updated
17 Sep 2009

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.