Kauffman Dental Clinic, PLLC
Clinic/Center, Dental in Fordyce, AR. Organization (NPI-2).
NPI number1982289286
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1982289286
- Entity type
- Organization (NPI-2)
- Legal business name
- Kauffman Dental Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2021
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
305 Graham StFordyce, AR 71742-3230
Phone 870-352-2880
Mailing address
305 Graham StFordyce, AR 71742-3230
Phone 870-352-2880
Authorized official
Charles Kauffman
Dentist / Owner
8703522880
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