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Contact Information

AR DENTAL & TMJ - JACKSONVILLE, LLC
1426 BRADEN ST
JACKSONVILLE, AR72076-3721
 Phone: 501-982-3777
 Fax: 501-982-3433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AR DENTAL TMJ JACKSONVILLE LLC · (Female)

NPI Number 1922373794
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2012
Last updated 08/02/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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