Bethel Burris Oliver Pllc

NPI 1013250984 - Dentist - 1223G0001X

NPI Details
NPI 1013250984
Enumeration Date 03/29/2013
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BENJAMIN BENJAMIN
Position OWNER
Phone (479) 471-5600
Fax (479) 471-5601
Practice Location
2411 FAYETTEVILLE RD
SUITE 42
VAN BUREN AR, 72956-6520, US
Phone (479) 471-5600
Fax (479) 471-5601
Business Location
3782 N FRONT ST
SUITE 1
FAYETTEVILLE AR, 72703-5128, US
Phone (479) 443-1705
Fax (479) 443-1586
Toxanomy
Taxonomy Code 1223G0001X
License State Arkansas
License Number 3339
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According to our database, Bethel Burris Oliver Pllc NPI is 1013250984, taxonomy code is 1223G0001X and license number is 3339, license state is located at Arkansas. Bethel Burris Oliver Pllc physically located at 2411 Fayetteville Rd, Van Buren AR, 72956-6520. NPI Number 1033115704 has the healthcare provider type.

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1013250984 NPI number is provided on an as is basis without warranty of any kind. 1013250984 is maintained by the National Plan & Provider Enumeration System. The contents of Bethel Burris Oliver Pllc are for informational purposes only.