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Bethel Burris Oliver PLLC

Dentist, Orthodontics and Dentofacial Orthopedics in Forrest City, AR. Organization (NPI-2).

NPI number1801237326
StatusActive
Last updated in NPPESMar 4, 2015

Details

NPI
1801237326
Entity type
Organization (NPI-2)
Legal business name
Bethel Burris Oliver PLLC
Organization subpart
No
Enumeration date
Jul 12, 2013
Last updated
Mar 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes
1223S0112X Dentist, Oral and Maxillofacial Surgery––
1223P0221X Dentist, Pediatric Dentistry––
1223G0001X Dentist, General Practice––

Other names

  • Arkansas Dentistry And Braces (Doing Business As)

Practice location

4941 N Washington St
Forrest City, AR 72335-7723

Phone 870-972-8294 · Fax 870-630-6405

Mailing address

3782 N Front St Ste 1
Fayetteville, AR 72703-5906

Phone 479-445-6335 · Fax 479-301-2878

Authorized official

Benjamin G Burris
Owner
8709728294

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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