Chad Jensen Dmd, Inc.

NPI 1285063297 - Dentist - 122300000X

NPI Details
NPI 1285063297
Enumeration Date 11/12/2013
Last Updated 11/12/2013
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHAD ERICK CHAD
Position PRESIDENT
Phone (870) 741-4746
Fax
Practice Location
500 N MAIN ST
HARRISON AR, 72601-3536, US
Phone (870) 741-4746
Fax
Business Location
500 N MAIN ST
HARRISON AR, 72601-3536, US
Phone (870) 741-4746
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 3968
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According to our database, Chad Jensen Dmd, Inc. NPI is 1285063297, taxonomy code is 122300000X and license number is 3968, license state is located at Arkansas. Chad Jensen Dmd, Inc. physically located at 500 N Main St, Harrison AR, 72601-3536. NPI Number 1033115704 has the healthcare provider type.

1285063297 NPI number is provided on an as is basis without warranty of any kind. 1285063297 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Jensen Dmd, Inc. are for informational purposes only.