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Contact Information

CLEMENTS FAMILY DENTISTRY
700 W FAULKNER ST
EL DORADO, AR71730-4521
 Phone: 870-862-3399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CLEMENTS FAMILY DENTISTRY · (Female)

NPI # 1437598802
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2013
Last updated 06/19/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 3779
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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