Sean Sebourn, D.D.S.
Dentist, General Practice in Conway, AR. Individual provider (NPI-1).
NPI number1699178376
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1699178376
- Entity type
- Individual (NPI-1)
- Name
- Sean Sebourn
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2014
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4008 | AR | Yes |
Practice location
2425 Dave Ward Dr Ste 502Conway, AR 72034-8685
Phone 501-764-3883 · Fax 501-325-1400
Mailing address
300 S Rodney Parham RdLittle Rock, AR 72205-4747
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