| NPI Details | |
|---|---|
| NPI | 1033356472 |
| Enumeration Date | 01/07/2009 |
| Last Updated | 01/07/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 8 years ago |
| Authorized Information | |
|---|---|
| Name | ALAN LEE ALAN |
| Position | OWNER |
| Phone | (479) 736-2800 |
| Fax | |
| Practice Location | |
|---|---|
| 304 E MAIN GENTRY AR, 72734, US |
|
| Phone | (479) 736-2800 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 732 GENTRY AR, 72734-0732, US |
|
| Phone | (479) 736-2800 |
| Fax | (479) 736-3212 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 122300000X |
| License State | Arkansas |
| License Number | 2542 |
| Remove 1033356472 NPI Number | |
According to our database, Gentry Family Dentistry Pllc NPI is 1033356472, taxonomy code is 122300000X and license number is 2542, license state is located at Arkansas. Gentry Family Dentistry Pllc physically located at 304 E Main, Gentry AR, 72734. NPI Number 1033115704 has the healthcare provider type.
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1033356472 NPI number is provided on an as is basis without warranty of any kind. 1033356472 is maintained by the National Plan & Provider Enumeration System. The contents of Gentry Family Dentistry Pllc are for informational purposes only.
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