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Contact Information

BETHEL BURRIS OLIVER PLLC
203 S AVALON ST
WEST MEMPHIS, AR72301-4172
 Phone: 870-732-2275
 Fax: 870-732-1350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for BETHEL BURRIS OLIVER PLLC · (Female)

NPI # 1245644277
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2014
Last updated 03/23/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 3339
  • AR License # 3460
  • AR License # 3465
  • AR License # 4013
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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