Ralph A Teed DDS,pa
Dentist in Newport, AR. Organization (NPI-2).
NPI number1083733554
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083733554
- Entity type
- Organization (NPI-2)
- Legal business name
- Ralph A Teed DDS,pa
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2453 | AR | Yes |
Practice location
1200 McLain StSuite 8
Newport, AR 72112-3534
Phone 870-523-6555
Mailing address
1200 McLain StSuite 8
Newport, AR 72112-3534
Phone 870-523-6555
Authorized official
Ralph A Teed
Owner
8705236555
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